epl claims analyst

Westfield Insurance

<div>Duties and Responsibilities:
<ul><li>Directly handle, manage and/or oversee commercial and financial lines Public and Private D&amp;O, Financial Institutions E&amp;O, EPL, Fiduciary and Crime/Fidelity claims.
</li><li>Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.
</li><li>Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners.
</li><li>Review and evaluation of policies to determine coverage.
</li><li>Resolve coverage-related matters working collaboratively with outside counsel when necessary.
</li><li>Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed.
</li><li>Adhere to all statutory regulations and Unfair Claims Practices Acts.
</li><li>Consistently communicate claim developments, exposure analyses and requests for authority to claims management.
</li><li>Participate in mediations, settlement conferences and otherwise see claims through to resolution.
</li><li>Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language.
</li><li>Along with underwriting, attend current and prospective meetings with insureds and brokers.
</li><li>Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation. 
</li></ul>Qualifications:
<ul><li>Minimum of 1 to 3 years&rsquo; experience at either a specialty insurance carrier and/or law firm.
</li><li>Entry level experience in public/private D&amp;O, E&amp;O or EPL.
</li><li>Bachelor&rsquo;s degree and Juris Doctor from an accredited law school required.
</li><li>Candidates will be required to obtain and maintain insurance adjuster licenses.
</li><li>Excellent written communication skills.
</li><li>Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population.
</li><li>Strong analytic, investigative, listening and negotiation skills.
</li><li>Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail.
</li><li>Experience working in a fast-paced environment, completing work with limited supervision.
</li><li>Experience with Microsoft Windows, Outlook, and Excel or transferable software packages.
</li><li>Ability and willingness to travel as needed. 
</li></ul>This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.</div>

Claims Specialist, Financial Lines

ClaimsFirst Services

ClaimsFirst Services, a Third-Party Administrator, is seeking a highly capable Claims Specialist to join our Professional Liability Claims team.This role will adjudicate E&amp;O, EPL and Private D&amp;O claims for our clients.The primary duties and responsibilities of the role are:<ul><li>Investigating claims promptly and thoroughly.</li><li>Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.</li><li>Working independently under minimal technical direction and within significant limits and authority.</li><li>Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.</li><li>Properly setting claim reserves, identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.</li><li>Preparing reports for file documentation.</li><li>Reporting to senior management and underwriters on claims trends and developments</li><li>This position is fully remote.</li></ul>Core qualifications and requirements for this position include:<ul><li>A practical knowledge of adjudicating management and professional liability claims.</li><li>A minimum of two years&rsquo; experience adjudicating management and professional liability claims with exposure of $100,000 or more.</li><li>Bachelor&rsquo;s degree from an accredited university required; a JD is strongly preferred.</li><li>Must have a license in each jurisdiction requiring a license to adjudicate first party claims.</li><li>Excellent evaluation, strategic skills and claim negotiation with a customer focus.</li><li>Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.</li><li>Must work independently and demonstrate the ability to exercise sound judgment.</li><li>Must have excellent communication skills.</li></ul>Job Type: Full-timePay: $85,000.00 - $95,000.00 per yearBenefits:<ul><li>Flexible schedule</li></ul>Work Location: Remote

Claims Specialist (Full-Time, Remote)

Harbor Claims LLC

<div>Description: Job Overview
Our Claims Analyst I&rsquo;s are our entry-level team members who are selected for, participate in and earn the opportunity to graduate from our Harbor Claims College. During Claims College, they are considered students and learn how to handle basic claims the Harbor Claims way in both a classroom and hands-on environment. After successful completion of Harbor Claims College, our Claims Analysts I initially focus their attention on providing constant, top-quality and highly-responsive service to our customers in order to successfully handle first notice of loss (FNOL) communications and or routine claims inquiries and/or issues from policyholders, agents and other Company team members. Concurrently, in order to expose the Claims Analyst I&rsquo;s to the &ldquo;nuts and bolts&rdquo; of the Harbor Claims way, our Claims Analyst I&rsquo;s provide other administrative and technical assistance in support of their team. Eventually, as their knowledge base expands, our Claims Analyst I&rsquo;s are tasked with handling routine claims files within minimum levels of authority and then receive increased exposure to more challenging files as they demonstrate mastery and ability. Our Claims Analyst I&rsquo;s have varied backgrounds, but all come to the job ready, willing and able to quickly and thoroughly learn the &ldquo;ins and outs&rdquo; of Cabrillo claims handling from their team leaders and specialists.
Job Responsibilities
Under close supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations, appropriately and correctly responds via telephone and email interactions to claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; routine claims, policy and other related inquiries and issues; handles first notice of loss communication and/or communicates with customers on assigned pending claims files on an ongoing basis.
Within minimum levels of authority and required time frames and with close supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions.
Within minimum authority levels and time frames, with close supervision, and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; communicates with claimant regarding settlement; settles claim and closes files; when outside scope of authority, clearly communicates pertinent information regarding files and works with other assigned analysts and/or leaders to ensure prompt resolution of claims.
Maintains claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.
As requested by leaders and/or other analysts, assists in review of designated files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to leaders, other analysts and/or subrogation specialist and provides follow-up assistance and support, as necessary.
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested.
Participates in and/or assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation as directed.
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.
Job Family Overview
Our Harbor Claims team provides direct, prompt, courteous and professional service to our policyholders, their agents, legal counsel and/or other third party representatives in the unfortunate event that the policyholders&rsquo; residential property is damaged or lost due to a covered event. To that end, our claims team members apply their technical know-how on a daily basis to review, investigate, evaluate and settle claims in a timely and equitable manner while also successfully and responsively handling claims inquiries and/or issues from many different people, including policyholders, agents, claimants&rsquo; third party representatives, as well as internal customers or carrier representatives, as assigned.
Most of our employees on our Harbor Claims team are in positions that are included in our claims analyst progressive job series, comprised of Claims Analyst I, II and III. By utilizing a progressive job series, our claims analysts are able to learn and consequently earn advancement on the claims team and in the Company. We provide clear criteria that defines what represents demonstrated mastery at each level. Once an incumbent has mastered that position in the progressive job series, he/she, with his/her claims team leader&rsquo;s active input and agreement, is eligible to advance to the next level in the series, increasing his/her responsibility, authority and pay levels as a result. At Harbor Claims, along with our claims analysts&rsquo; progressive job series, we also have a field adjusters&rsquo; job series. A claims analyst is differentiated from a field adjuster in that the claims analyst is our internal &ldquo;desk&rdquo; adjuster located at our headquarters office who might, depending on the type, severity and/or location of claim, request a field adjuster or an independent adjuster go out and investigate a claim on the Company&rsquo;s behalf while the field adjuster is out in the field on a day-to-day basis examining claims.
The other positions on our claims team include our claims team leaders and claims team specialists. These positions, respectively, are the supervisory and expert level positions on the team. Both types of positions require incumbents who are exceedingly well-versed in - and passionate about - their chosen profession of claims and additionally require incumbents with a remarkable understanding of, deep appreciation and respect for and ability to flourish in the Company&rsquo;s unique culture and work environment. Our claims team leaders serve a vital role in our Company&rsquo;s success by utilizing their demonstrated and dynamic leadership strengths to provide front-line day-to-day coaching, supervising &amp; leading of assigned claims analysts and/or field adjusters, while also continuing to carry out their respective day-to-day claims handling duties as working claims analysts. Comparable to our claims team leaders, our claims team specialists are also expected to carry out their assigned day-to-day claims handling or field adjusting duties as working claims analysts, while also continually demonstrating an exceptional depth and/or breadth of technical knowledge and claims expertise. Due to the breadth of their knowledge, they serve as the Go-To for the claims and customer support teams in those niche areas. Furthermore, as a result of the breadth of their knowledge, they are the team members who, at a moment&rsquo;s notice due to fluctuating business needs, can also be open, flexible, willing and adroitly able to take on additional pending and/or new claims files as needed. Our team specialists are expected to train team members on a recurring basis by teaching new hires how to do things our way (aka, the right way the first time), training current team members about new information and/or tasks and/or teaching multiple team members on a large-scale, even Company-wide, basis about a discipline in which the incumbent demonstrates proven expertise and knowledge. Finally, both our team leaders and specialists may spearhead a myriad of special projects producing important results and positive impact for the Company.
Requirements: Skills and Expertise
Qualities: quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.
Strong skill sets in the following areas: effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking good questions to learn about claims handling; oral and written communication; interpersonal communication.
Strong knowledge of: business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access and MS PowerPoint a plus.
Licenses, Education and/or Experience
Bachelor&rsquo;s Degree or equivalent work experience. Insurance-related degree or residential property claims customer service experience is highly desirable. A current 6-20 adjuster license, other applicable states&rsquo; adjuster license/s and/or required obtainment of specified license/s within three months of hire, specific to the job opening, is required.</div>

Claims Analyst I/II (Residential Property)

<div>Description: Job Overview
Our Claims Analyst III&rsquo;s are highly-seasoned residential property (1st party) and/or liability (3rd party) claims professionals who are dedicated to doing an outstanding job of accurately and effectively handling a heavy claims file load of the full range of routine to complex claims for the Company. Additionally, our Claims Analyst III&rsquo;s provide constant, top-quality and highly-responsive service to successfully handle even the most advanced claims inquiries and/or issues from policyholders, agents, third party representatives and other Company team members.
Job Responsibilities 
In the spirit of our Company&rsquo;s mission, values and culture, the duties listed below serve as illustrations of the various types of work that may be performed by our Claims Analyst II&rsquo;s. We may also expect our Claims Analyst II&rsquo;s to carry out other responsibilities that are similar, related or a logical assignment to this job class.<ul><li>
With minimal supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations and with minimal supervision, appropriately and correctly responds via telephone and email interactions to a wide range of routine to complex claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; claims, policy and other related inquiries and issues.</li><li>
Within designated levels of authority and required time frames and with minimal supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions; correctly reviews, assesses and applies independent and/or field adjusters&rsquo; findings in order to appropriately handle the respective claims.</li><li>
Within designated authority levels and time frames, with minimal supervision and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; as required, requests, obtains, reviews and evaluates outside experts&rsquo; (including engineers, architects, construction contractors and attorneys) opinions and/or information and confers with experts; communicates with claimant regarding settlement and effectively negotiates, when necessary; as required, interviews and records statements of claimants and witnesses to gather pertinent information; communicates with claimant regarding settlement and effectively negotiates, as necessary; settles claim and closes a wide spectrum of files including those with increased complexity, severity and/or exposure and/or which may be attorney- or third-party-represented; when claim is outside scope of authority or is attorney or third-party represented, actively and professionally works the file while maintaining clear communication and ongoing interaction with management, internal legal counsel and/or outside legal counsel, as appropriate, to ensure prompt timely and fair resolution of claims; may participate in mediation and/or court proceedings.</li><li>
Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.</li><li>
Reviews assigned files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to subrogation specialist and provides follow-up assistance and support, as necessary.</li><li>
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested, researches routine to more difficult policy, coverage and eligibility provisions; develops and communicates provision findings, analyses and/or recommendations to appropriate internal and/or external contacts .</li><li>
Participates in and/or actively assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation, vendor management or others, as directed.</li><li>
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.</li></ul>
Requirements: Skills and Expertise 
Qualities: quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.
Strong skill sets in the following areas: effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking productive questions with an ability to apply learned information to a variety of related or similar situations; oral and written communication; interpersonal communication.
Strong knowledge of: advanced understanding of personal lines products, including residential homeowners and personal umbrella products; depending on area of focus, advanced understanding of property-related (1st party) and/or liability-related (3rd party) principles, practices, processes and terminology; business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access, MS PowerPoint a plus. Thorough knowledge of Xactimate required.
Licenses, Education and/or Experience 
For external candidates applying to a Claims Analyst III position: Bachelor&rsquo;s Degree and five or more years residential property (1st party) or liability (3rd party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.</div>

Claims Analyst III (Residential Property and/or Liability)

<div><div>What you&rsquo;ll need to succeed as an Analyst, Claims at XPO</div><div>
Minimum qualifications:</div><ul><li>
Bachelor&rsquo;s degree or equivalent related work or military experience</li><li>
1 year of experience as a cargo claims examiner, analyst or in a similar capacity working with liability and risk</li></ul><div>
Preferred qualifications:</div><ul><li>
2 years of related experience</li><li>
Knowledge of Common Law Liability, Code of Federal Regulations, Rules and Tariffs, Transportation Contracts and Agreements and the National Motor Freight Classification system</li><li>
Knowledge of risk reduction and claims process</li><li>
Exceptional customer service skills</li><li>
Able to communicate with executive management regarding the decision-making process of claims declined and/or paid</li><li>
Excellent written, verbal and telephone communication skills</li><li>
Demonstrated ability to work under strict deadlines utilizing good planning and organizational skills</li></ul><div></div><div> 
About the Analyst, Claims job</div><div>
Pay, benefits and more:</div><ul><li>
Competitive compensation package</li><li>
Full health insurance benefits available on day one</li><li>
Life and disability insurance</li><li>
Earn up to 15 of PTO over your first year
</li><li>9 paid company holidays</li><li>
401(k) option with company match</li><li>
Education assistance</li><li>
Opportunity to participate in a company incentive plan</li></ul><div></div><div> 
What you&rsquo;ll do on a typical day:</div><ul><li>
Understand and qualify the type of claims filed; investigate and analyze cargo claims for loss, damage and delays to determine company liability and costs for damage or loss while protecting company and customer interests</li><li>
Understand and interpret legal limits of liability as stipulated in the contracts and applicable governing publications such as the National Motor Freight Classification; negotiate cargo liability</li><li>
Collaborate with Sales, Pricing, Operations and customers regarding disposition of claims</li><li>
Compose professional claims correspondence</li><li>
Manage claims inventory to meet individual, team and company goals; process claims according to company policies and procedures</li><li>
Handle customer inquiries and complaints</li><li>
Provide claim prevention techniques and tips to the field</li></ul> 
About XPO
XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO, we look for employees who like a challenge and can communicate effectively in all situations. We want to leverage your skills and years of experience to drive positive results while ensuring a bright future for yourself and XPO. If you&rsquo;re looking for a growth opportunity, join us at XPO. 
We are proud to be an Equal Opportunity employer. Qualified applicants will receive consideration for employment without regard to race, sex, disability, veteran or other protected status. 
All applicants who receive a conditional offer of employment may be required to take and pass a pre-employment drug test. 
The above statements are not an exhaustive list of all required responsibilities, duties and skills for this job classification.</div>

Analyst, Claims - Hybrid

FalconPrime Insurance Services

Claims AnalystFalconPrime Insurance Services &ndash; Doha, Qatar Full-timeAbout FalconPrime Insurance ServicesFalconPrime Insurance Services is a Doha-based insurance and risk management company providing comprehensive coverage solutions for individuals and businesses. The company focuses on efficient claims processing, customer satisfaction, and maintaining strong compliance with industry regulations.Job DescriptionFalconPrime Insurance Services is seeking a detail-oriented and analytical Claims Analyst to review, evaluate, and process insurance claims. The role involves ensuring claims are accurate, valid, and compliant with policy terms while supporting timely resolution and customer satisfaction.Claims Analysts play a key role in analyzing claim data, verifying coverage, and ensuring fair and accurate payouts while protecting company interests.Responsibilities<ul><li>Review and analyze insurance claims for accuracy, completeness, and eligibility</li><li>Evaluate policy coverage and determine claim validity</li><li>Investigate claims by gathering information from clients, adjusters, and relevant parties</li><li>Process claims and recommend approval, denial, or adjustment of payments</li><li>Identify discrepancies, errors, or potential fraudulent claims</li><li>Communicate with policyholders regarding claim status and requirements</li><li>Maintain accurate records of claims, documentation, and decisions</li><li>Prepare reports on claims trends, costs, and performance metrics</li><li>Ensure compliance with company policies and regulatory standards</li><li>Collaborate with internal departments such as underwriting, legal, and finance</li></ul>Qualifications<ul><li>Bachelor&rsquo;s degree in Finance, Business Administration, or related field</li><li>Previous experience in insurance claims, finance, or analysis preferred</li><li>Strong analytical and problem-solving skills</li><li>High attention to detail and accuracy</li><li>Good communication and interpersonal skills</li><li>Proficiency in Microsoft Excel and data analysis tools</li><li>Ability to manage multiple claims and deadlines</li></ul>Preferred Qualifications<ul><li>Experience in insurance, healthcare claims, or financial services</li><li>Knowledge of insurance policies, claims processing, and regulations</li><li>Familiarity with claims management systems or ERP software</li><li>Experience in fraud detection or risk analysis</li></ul>Why Join FalconPrime Insurance Services?<ul><li>Work in a structured and professional insurance environment</li><li>Gain hands-on experience in claims analysis and risk management</li><li>Opportunity to develop analytical and decision-making skills</li><li>Exposure to real-world insurance operations and compliance processes</li><li>Career growth opportunities within the insurance sector</li></ul>Work Setup &amp; Benefits<ul><li>Standard office working hours</li><li>Competitive salary (based on experience)</li><li>Health insurance and paid leave</li></ul>Job Types: Full-time, Contract, Permanent Contract length: 12 monthsPay: QAR270.00 per hourExpected hours: 20 per weekWork Location: In person

Claims Analyst

The Seeds School

Key Responsibilities<ul><li>Curriculum Implementation:</li><li>Facilitate the Advance Montessori syllabus, focusing on complex Exercises of Practical Life (EPL), advanced Sensorial work, and Decimal System Mathematics.</li><li>Lead the transition from phonetic sounds to sentence construction and creative writing in English and Urdu.</li><li>Introduce abstract concepts through Montessori concrete materials (e.g., Bead Frames, Moveable Alphabet).</li><li>Prepared Environment:</li><li>Design and maintain a meticulously organized, aesthetic, and &quot;prepared&quot; classroom that invites self-directed learning.</li><li>Ensure all Montessori apparatus is complete, clean, and accessible to students.</li><li>Observation &amp; Record Keeping:</li><li>Maintain detailed observation logs for each child to track their &quot;sensitive periods&quot; and developmental milestones.</li><li>Prepare individualized progress reports and portfolios for parent-teacher conferences.</li><li>Student Mentorship:</li><li>Foster a sense of community and leadership, encouraging older children to mentor younger peers.</li><li>Promote grace, courtesy, and self-discipline without the need for traditional rewards or punishments.</li></ul>Requirements &amp; Qualifications<ul><li>Education: Graduate degree (B.A/B.Sc) from a recognized university.</li><li>Certification: Diploma in Montessori Method of Education (Early Childhood) from a reputable training center (e.g., AMI, MMTI, or PMC).</li><li>Experience: Minimum 3 years of experience specifically teaching Advance Montessori / Prep levels.</li><li>Skills: * Mastery over the use of Montessori apparatus and pedagogy.</li><li>Fluency in English (spoken and written) to model correct pronunciation and vocabulary.</li><li>Creative ability to design DIY teaching aids and classroom decor.</li></ul>Preferred Attributes<ul><li>A calm, patient, and observant nature.</li><li>Deep understanding of child psychology and developmental stages.</li></ul>Pay: From Rs45,000.00 per monthWork Location: In person

Advance Montessori Teacher (Block 7 Gulistan-e-Jauhar)

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