Claims Specialist

Description

Ledgebrook is a tech-enabled E&S MGA dedicated to the wholesale distribution channel. Our mission is to provide our wholesale brokers with the fastest, easiest quoting experience while delivering best-in-class pricing and risk selection. Ledgebrook’s guiding principle is to eliminate friction for both our wholesalers and our underwriters.

Our next-gen tech stack supports faster, risk-differentiated solutions to be crafted and delivered in response to the fast-paced needs of the E&S market. Our data-driven approach seeks to unlock more opportunities and value from every submission received, leading to a faster ‘yes’ more frequently, but may also lead to a quick ‘no’.

We are motivated and structured to move faster than traditional insurance organizations. To fully align business objectives with a long-term view that supports our culture and values, all employees will have the opportunity to participate in company ownership through equity grants. We aim to deliver a highly compelling overall employee value proposition and a total compensation package that couples equity grants with base pay and benefits offerings.

At Ledgebrook, as a unified team of company stewards, we will Care, Strive, and Thrive together!

About the Role

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

About you

Here at Ledgebrook, we are passionate about creating a team that is on a continuous learning journey and that shares our excitement about building a company from the ground up. Some of the characteristics we hold dear are:

• A passion to deliver a world-class customer service experience to both internal and external customers.
• Intellectual curiosity and desire to innovate processes/procedures versus being satisfied with the status quo.
• A desire to continue learning through on-the-job mentorship or formal educational/training opportunities.
• Agile prioritization skills coupled with a keen sense of urgency that seeks to balance getting it right versus getting it done right now.
• A strong drive and desire to win together as a high-performing team.
• A moral compass to “do the right thing, period”, with zero tolerance for toxic behaviours.

Requirements

Must haves

• Proven experience in Claims handling roles/ industry.
• Experience in building successful relationships with various stakeholders at all levels.
• Strong customer focus and ability to work in a fast paced environment.
• Comfortable with MS Office Suite and Google Workspace applications.
• Strong knowledge of coverage analysis, claims investigation, and litigation management
• Excellent problem-solving skills and the ability to drive initiative.
• Strong communication and collaboration skills, with the ability to work effectively in a team environment.

Nice to haves

• Prior startup experience.
• Bachelor’s or Master’s degree in Economy; Finance; Risk Management or a related field.
• Adjuster license(s) or CPCU/AIC designation(s).
• Familiarity with the regulatory landscape.

Benefits

• Competitive salary and meaningful equity
• Completely remote, flexible schedule, and monthly coworking gatherings
• Unlimited paid time off
• Clear ownership and impact from day one
• Collaborative, transparent work culture