Canopius Group · 14 hours ago
Claims Examiner
Chicago, IL
Full-time
Hybrid
Mid, Senior Level
$80K/yr - $100K/yr
5+ years expCanopius Group is a global specialty lines (re)insurer and a leading insurer in the Lloyd’s of London insurance market. The Claims Examiner role involves providing oversight of personal and commercial lines property claims, including the review and approval of claims, and ensuring appropriate coverage analysis and communication with TPAs.
Insurance
Responsibilities
Review claims submitted by TPAs and authorize reserves and payments where those amounts exceed the TPA’s authority
Provide guidance to TPAs to ensure proper investigation and timely, equitable disposition of claims, including retention of experts and/or attorneys where needed
Assist TPA with coverage analysis, seeking underwriting assistance where appropriate
Review and approve reservation of rights and coverage denial letters to ensure accuracy and consistency in coverage analysis
Review claims to ensure appropriate reserve levels and that changes are made on a timely basis
Refer claims in excess of authority to supervisor
Prepare notification to underwriters and reinsurers for large or contentious claims
Review and approve TPA funding requests within authority
Participate in claim file audits to monitor TPA performance
Assist with preparation of reports for underwriting, agents, insureds or state agencies as needed
Occasional travel
Other duties as assigned
Qualification
Required
Bachelor's degree or the equivalent in related work experience; five or more years of progressive technical claim experience is required
Thorough technical knowledge of commercial property claims practices and procedures
Thorough technical knowledge of commercial property coverage forms
Thorough functional knowledge of Microsoft Office tools, including Word and Excel
Willingness to learn and handle other lines of business based on workload and need
Self-starter with the desire to work in a collaborative environment and provide insight and feedback to other departments
Detail-oriented service professional with the ability to communicate effectively with adjusters, co-workers and clients
Strong analytical skills
Strong verbal and written communication skills
Good mathematical skills with ability to compute rate, ratio and percent and to draw and interpret bar graphs and tables
Strong attention to detail and focused on the delivery of high-quality work
Highly motivated, enthusiastic and structured working style
Claims Evaluation
Claims Negotiation
Claims Strategy
Communication
Customer Relationship Management
Local Market / Policy Knowledge
Portfolio Management
Reading Comprehension
Third-Party Management
TPA / DCA Management
Preferred
Some D&F claim experience is preferred
First party commercial auto knowledge a plus
Benefits
Hybrid working
A competitive base salary
Non-contributory 401k
Discretionary bonus
Insurances including medical, dental and vision cover
Many other benefits to enhance financial, physical, social and psychological health
Company
Canopius Group
We are Canopius, a global specialty and Property & Casualty (re)insurer with offices in the UK, the US, Bermuda, Singapore and Australia.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Samsung Fire & Marine Insurance
2025-06-11Secondary Market
2019-11-04Corporate Round
2017-09-01Acquired
Leadership Team
Coleman Johnson
Chief Underwriting Officer, US and Bermuda
Lisa Davis
President and Chief Underwriting Officer
Recent News
Beinsure - Insurance, Reinsurance, InsurTech Insights
2025-09-18
FinTech Global
2025-09-15
2025-09-12
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