Claims Casualty Examiner

Utica First Insurance Company; Village of Oriskany (NY); Presencial; USD 52.000 - 75.000; Tempo integral

Resumo da vaga

Utica First Insurance Company seeks a Claims Casualty Examiner to investigate and resolve casualty claims in line with company policies and regulatory requirements in New York. You will work with policyholders, claimants, attorneys, and medical providers to ensure fair, timely resolutions and provide customer-focused service.

The role involves evaluating injuries and property damages, maintaining reserves, and mentoring less experienced examiners as needed, with opportunities to contribute on

Qualificações

• Investigate casualty claims by gathering and analyzing statements, reports, records, and other relevant documentation.
• Review and interpret policy language to determine coverage.
• Evaluate injuries and property damages, establish and maintain reserves, and develop resolution strategies.
• Negotiate settlements with claimants and attorneys.
• Maintain accurate, timely, and complete claim documentation.

Responsabilidades

• Identify, investigate, and address potential fraud.
• Manage claims in compliance with company standards, state regulations, and industry best practices.
• Monitor claim inventories to ensure timely file progression and resolution.
• Participate in claim reviews, audits, training programs, and continuing education activities.
• Provide technical assistance and mentorship to less experienced examiners, as appropriate based on level.
• Assist with special projects, departmental initiatives, and catastrophe response efforts as assigned.

Descrição da vaga

The Claims Casualty Examiner is responsible for investigating, evaluating, negotiating, and resolving casualty claims in accordance with company policies, regulatory requirements, and industry best practices. Depending on level, the examiner may handle claims ranging from routine matters to complex, high-exposure, and litigated losses. This position works closely with policyholders, claimants, attorneys, agents, medical providers, vendors, and internal departments to ensure fair and timely claim resolution while delivering exceptional customer service.

Reports To

Claims Casualty Supervisor

Duties/Responsibilities

• Investigate casualty claims by gathering and analyzing statements, reports, records, and other relevant documentation.
• Review and interpret policy language to determine coverage.
• Evaluate injuries and property damages, establish and maintain appropriate reserves, and develop resolution strategies.
• Negotiate settlements with claimants and attorneys
• Maintain accurate, timely, and complete claim documentation.
• Communicate effectively with policyholders, claimants, agents, attorneys, medical providers, and other involved parties.
• Identify, investigate, and address potential fraud.
• Manage claims in compliance with company standards, state regulations, and industry best practices.
• Monitor claim inventories to ensure timely file progression and resolution.
• Participate in claim reviews, audits, training programs, and continuing education activities.
• Provide technical assistance and mentorship to less experienced examiners, as appropriate based on level.
• Assist with special projects, departmental initiatives, and catastrophe response efforts as assigned.

Compensation details

52000-75000 Yearly Salary