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Lead Claims Adjuster
2 months ago
Senior Claims Adjuster
Location: Flexible (Hybrid or Remote)
Compensation: $135,960 - $169,950
Aspen Insurance Group, established in 2002, stands as a prominent, diversified specialty insurance and reinsurance entity. We pride ourselves on our thoughtful and innovative approach to delivering optimal solutions for our clients and business partners.
Our workplace culture emphasizes the importance of our values: respect, honesty, trust, and professionalism. We offer a stimulating environment conducive to career growth and achievement.
Position Overview:
Are you prepared to join a vibrant team as a Senior Claims Adjuster? This role is ideal for those seeking a balance between professional and personal life while working alongside a team committed to integrity and exceptional service. Our management team is dedicated to supporting your professional aspirations.
This position will support the Healthcare Underwriting Team by providing expertise on all policies, endorsements, market trends, and claims feedback. Upholding our Aspen Values is essential in every aspect of this role.
Key Responsibilities:
- Oversee healthcare claims across multiple jurisdictions.
- Timely and accurately analyze coverage issues and draft coverage position letters.
- Conduct thorough investigations to develop claim facts, ensuring comprehensive documentation and prompt communication with all relevant parties.
- Assess complex damages and liability exposures to establish accurate reserves.
- Manage the litigation process and associated expenses effectively.
- Proactively handle a claim inventory and negotiate resolutions under moderate supervision.
- Present cases and share expertise during claim committee meetings and customer claim reviews as necessary.
- Identify potential fraud and third-party contribution issues and address them appropriately.
- Comply with all statutory regulations and Unfair Claims Practices Acts.
- Act as a liaison between Aspen and brokers to maintain accurate loss expense reserves.
- Recognize exposures to the company and inform senior management about significant claims and litigation risks.
- Embody and advocate for the Aspen Spirit in all interactions.
- Engage in professional development and training to attain relevant qualifications.
- Ensure timely and accurate issuance of company, market, and client-related documentation.
- Collaborate effectively with colleagues to achieve team and business objectives.
- Establish and maintain productive business relationships across various departments.
- Perform any other related duties as reasonably requested by the company.
- Partner with underwriting colleagues at industry meetings when necessary.
- Represent the company at industry events when requested.
Qualifications:
- J.D. degree is highly preferred.
- A minimum of 5 years of relevant claims and/or law firm experience.
- In-depth knowledge of legislation, regulations, and industry standards related to insurance and financial services.
- Extensive experience with healthcare professional liability claims.
- Previous experience in Professional Liability Claims or law firm experience defending professionals is preferred.
- Strong understanding of the insurance industry, particularly in Property & Casualty.
- Relevant professional qualifications in compliance, investments, law, or business.
- Exceptional written and verbal communication skills for conveying compliance and regulatory matters to stakeholders.
- Preferred knowledge of other professional claims, including those related to lawyers and accountants.
- Able to work independently, managing multiple deadlines and tasks efficiently.
At Aspen, we recognize that a diverse and inclusive workforce enhances our business and the communities we serve. We welcome applications from individuals of varied backgrounds, cultures, perspectives, skills, and experiences.
