Claims Technical Director - TPA Oversight

Overview:

Skyward Specialty is a property and casualty insurance holding company formed in 2007. Based in Houston, Texas, and with staff throughout the country, Skyward Specialty provides admitted and non-admitted solutions to retail and wholesale distributors, managing general agents and captive markets. We have built highly respected businesses in specialty lines including management professional liability, medical stop loss, surety, E&S property and liability, and large commercial property, as well as multi-line solutions for the energy, trucking and construction industries.

At Skyward Specialty, we approach this business differently. In fact, we’re different from most others in our industry in just about every way. We have the spirit of a start-up with the security of over $1.7 billion in Written Premium. We put immense brain power and energy into finding greater insights to uncover better opportunities for our clients, partners, and people. We think at a higher level, so they can succeed at a higher level.

We are committed to a Diverse Workforce

Skyward Specialty is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, nativity, neurodiversity, genetics, disability, age, or veteran status. For more information about us please visit www.skywardinsurance.com

 Summary

The Claims Technical Director - TPA oversight for Claims in a Captive and Programs business. Reviews and provides direction on reserve and settlement authority, where required, on complex, specialized claims and/or high exposure claims of commercial auto and general liability.  Supports business partner through communication about specific claims, and identification of claim trends. Monitors claim quality and customer feedback to ensure compliance with regulatory requirements, customer satisfaction and achievement of corporate objectives. Independently operates within broad company guidelines and authority levels.

Principal Duties and Responsibilities

• Ensure proper reserving to achieve compliance with corporate policy.
• Management of TPA relationship and oversight of TPA handled claims, providing guidance with respect to coverage, investigation, and evaluation, ensuring compliance with best practices, and conducting TPA file reviews and audits.
• Conduct TPA file reviews and audits, as required.
• Conduct Internal file reviews and audits, as required.
• Oversight of complex and high exposure claims in litigation, including strategizing with defense counsel, TPA adjuster and experts on defending such.
• Oversight of mediations, arbitrations, and trials as appropriate
• Approve TPA Large Loss Reports.
• Keep a diary for all Trial Alerts.
• Management of claims-related data, intelligence, and information, including the development of tools, processes and/or reporting to improve loss outcomes and to provide insight to claim trends.
• Create a strong relationship with Captive and Program members, while providing optimal balance of excellent customer service.

Qualifications, Education and Experience Preferred

• Bachelor's degree required.
• Minimum of 10 years of in Commercial Auto Liability claims, preferably in Transportation and some General Liability claims experience or related insurance education/experience.
• Willingness/Aptitude to learn new lines of business.

Knowledge, Skills, and Abilities

• Must possess high level skills and extensive claims technical knowledge Primarily Commercial Auto and liability claims.
• Litigation experience in Commercial Auto Bodily Injury claims with an emphasis on Transportation claims.
• Experience with general liability or other lines of claims a plus.
• Must possess expert analytical, decision making, negotiation, problem-solving, project management, organizational, and teamwork skills.
• Willing to adapt and learn new lines of business.
• Must demonstrate superior written and oral communication skills and the ability to communicate with all levels of the organization.
• Demonstrated strategic thinking capabilities.
• Demonstrated proficiency with computer software including Microsoft Office suite and other Claims tracking tools.

Compensation & Benefits

The applicable base salary for this opportunity is $110,000 - $120,000.  The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements.  In addition to the base salary, this opportunity may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition and professional certification assistance, 401k savings, elective participation in the Employee Stock Purchase Program, paid time off, paid holidays, and child bonding leave, as well as other employee assistance programs.

#LI-Remote