Senior Claims Specialist

The Senior Claim Specialist manages the claims process from start to finish, delivering exceptional outcomes for internal and external clients. This role requires an experienced professional who works independently, provides excellent service, and handles a broad range of claims. The position serves as a claims advocate for assigned accounts across multiple lines of business, including personal lines claims for high‑net‑worth individuals.

Key Responsibilities:

• Support the Head of Claims and manage the claims process for all assigned responsibilities.
• Ability to proactively identify and work through intermediate to complex coverage issues.
• Complete Desk Reviews to include detailed facts, liability and damages analysis, and status in connection with renewal process.
• Coordinate and conduct both carrier-led and client-led claim reviews.
• Establish and maintain good working relationships with both internal and external stakeholders – internal: Account Executive Teams, etc.; external: adjusters, Claim Account Executives, wholesalers, etc.
• Autonomously manage specific accounts with minimal supervision from Head of Claims.
• Maintain claim file documentation and claims diaries in accordance with Best Practices on all assigned claims.
• Create independent relationships with clients with oversight only from Head of Claims.
• Be able to negotiate favorable results for clients in all aspects of claims disposition.
• Access and utilize data obtained from various carrier systems to achieve the best possible claim outcomes
• Ad hoc projects to support the Claims Department.

Qualifications and Experience:

• 10+ years’ experience of relevant claims experience
• Bachelor’s degree required
• Proficiency in Applied Epic strongly preferred
• Proficiency in Microsoft Suite (Word, Excel, PowerPoint) required
• Ability to travel occasionally as business needs require
• Flexibility to work outside of regular business hours when necessary to support claim activity and client needs
• Must have sound technical proficiency in one or more of the following types of claims: Auto, General Liability, Property and Workers Compensation. Having only Property experience is not acceptable.
• Must have commercial lines experience, personal lines experience is a plus.
• Must be staunchly “solution oriented” with an ability to think outside the box when handling difficult and frustrating situations until resolved in a positive manner and in the client’s favor to the extent possible.

What The Company Offers:

• $125K-$150K + Discretionary Bonus
• Further Education Opportunities with Certification Reimbursement
• Health, Dental, Vision, and Life Insurance Benefits
• 401(k) Plan
• 20 Days of PTO + 9 Holidays
• Hybrid Work Flexibility (1-day WFH)
• Free Onsite Gym and Café on Premises