Claims Specialist

We are seeking an experienced Claims Specialist to join our growing operations team and play a critical role in providing superior support to claims managers; brokers and our internal Underwriting and Operations Units. As a Claims Specialist, you will play a critical role in handling PL & GL claims while helping us build a best-in-class claims operation. You'll be at the forefront of creating a trusted, transparent, and efficient claims process for our customers. We're a growing start-up reshaping the E&S space, and we're looking for someone who can combine operational rigor with empathy and adaptability. You’ll play a critical role in both delivering exceptional customer experience and supporting scalable processes as we grow.

What you’ll do

Incoming Claims Processing:

• Manage and process incoming claims efficiently, ensuring accuracy, fairness, and timely resolution
• Communicate directly with customers, providers, and partners to gather necessary documentation and clarify case details.
• Communicate directly with insureds, brokers, and partners, maintaining clarity, professionalism, and empathy

Assistance in claims review:

• Working along with our Claims Manager to investigate claims by reviewing documentation, identifying any discrepancies or inconsistencies, and escalating when appropriate. 

Regulatory and Compliance:

• Maintain detailed and compliant records for audit and regulatory purposes

Business Testing:

• Collaborate cross-functionally with product, engineering, and underwriting teams to improve claims workflows and automate routine tasks

Collaboration and Communication:

• Collaborate with cross-functional teams to understand  the external and internal customer needs and implement solutions that enhance productivity.
• Communicate effectively with employees and 3rd parties to ensure they are supporting client initiatives. 
• Provide feedback and insights to improve internal policies, tools, and customer communications

Metrics Management

• Monitoring statistical data to ensure efficient claims handling is maintained.
• Help build and refine our claims playbook, SOPs, and knowledge base from the ground up