Claims Specialist - Relm Insurance : Job Details

WHAT YOU WILL DO

Manage High-Exposure and Complex Claims:

• Handle claims across Financial Lines (D&O, E&O, Cyber, Crime, Tech Liability) with high financial impact, ensuring efficient resolution while mitigating company exposure.

Conduct Coverage Analysis:

• Review and interpret policy language, assess coverage applicability, and provide coverage determinations in alignment with legal and regulatory requirements.

Litigation and Dispute Management:

• Oversee litigation strategies, work closely with external defense counsel, and participate in mediation, arbitration, and settlement negotiations.

Regulatory and Compliance Oversight:

• Ensure claims handling practices comply with state, federal, and international regulations, particularly in emerging sectors such as blockchain and digital assets.

Collaborate with Underwriting and Risk Teams:

• Provide insights on claims trends, risk assessments, and policy wording recommendations to enhance underwriting strategies and product development.

Work with External Partners:

• Liaise with brokers, third-party administrators (TPAs), coverage counsel, and forensic investigators to facilitate claims investigations and resolutions.

Lead Claims Investigations:

• Conduct in-depth claim assessments, including gathering evidence, interviewing key parties, and analyzing loss data to make well-informed claims decisions.

Develop and Implement Claims Strategies:

• Establish proactive claims-handling strategies to optimize financial outcomes and improve policyholder experiences.

Provide Thought Leadership on Emerging Risks:

• Stay ahead of market trends, regulatory developments, and industry best practices, particularly in financial lines and blockchain-related risks.

Deliver Reports and Stakeholder Communications:

• Prepare detailed claim summaries, risk analyses, and reports for senior management, reinsurers, and regulatory bodies, ensuring transparency and strategic alignment.

Requirements

• Bachelor's degree in Law, Business, Finance, Risk Management, or a related field required; Juris Doctor (JD) or advanced degree preferred.

• 3-5 years of experience handling complex financial lines claims, including D&O, E&O, Cyber, Crime, and Technology Liability in an insurance, legal, or risk management setting.

• Strong knowledge of insurance policy language, coverage analysis, and claims resolution strategies, particularly within financial and professional liability lines.

• Experience managing high-exposure, litigated claims, including oversight of outside counsel, mediation, and settlement negotiations.

• Familiarity with regulatory frameworks such as SEC regulations, GDPR, CCPA, AML/KYC compliance, and evolving digital asset insurance requirements.

• Prior experience in blockchain, fintech, or emerging technology-related risks is highly desirable.

• Proven ability to work with third-party administrators (TPAs), brokers, reinsurers, and risk management professionals to drive optimal claims outcomes.

• Strong analytical, negotiation, and communication skills, with the ability to articulate complex coverage issues and claims strategies to internal and external stakeholders.

• Adjuster license in all 50 states strongly preferred; ability to obtain additional state licenses as required.

The annual salary for this role is structured within a range of USD$140,000 to USD$160,000, depending on experience and qualifications.

Benefits

WHAT WE OFFER

• A comprehensive benefits package, including medical, dental, vision, life insurance, long-term and short-term disability, all paid at 100% for employees.
• Up to 5% of salary 401(k) employer match
• Competitive compensation
• 28 Days of PTO
• Training and mentorship opportunities
• Educational stipend
• An environment where you opinion is not only heard but crucial to our teams' success
• A multitude of growth