Liability Claims Examiner

Jobtailor; New York (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor in the United States seeks an experienced Premises Liability Claims Adjuster to join our team. You will examine, adjust, and defend claims against insureds while reviewing policy coverage and supporting allegations with solid factual investigations.

You will determine settlements, set reserves, and negotiate resolutions, coordinating with defense counsel to ensure compliance with protocols. A Bachelor's degree, relevant designations, and 2+ years of experience are required; familiarity

Qualifications

• Bachelor's degree required.
• 2+ years of experience handling premises liability claims.
• CPCU, AIC, SCLA and other insurance professional designations preferred.
• Familiarity with ImageRight and Guidewire is a plus.
• Attention to detail and analytical skills essential.

Responsibilities

• Examine, adjust, defend claims and lawsuits against insureds.
• Review and verify coverage for each claim, including policy review and comparing to allegations.
• Issue timely coverage position letters.
• Conduct factual investigation directly or with investigators.
• Review and analyze documents such as contracts, leases, governing documents, business records, public records, medical records, and property damage scopes.
• Setting proper reserves timely; making a fair and prompt settlement determination.
• Negotiate settlements.
• Direct defense counsel, monitor/review discovery.
• Maintain accurate and complete file notes.
• Maintain current and meaningful diary system.
• Participates in special projects and performs additional duties as required.

Skills

Claims Adjustment

Coverage Verification

Factual Investigation

Settlement Determination

File Management

Education

Bachelor's Degree

CPCU

AIC

SCLA

Tools

ImageRight

Guidewire

Job description

Responsibilities

• To examine, adjust, defend, claims and lawsuits against our insureds
• Review and verify coverage for each claim, includes policy review and comparing to allegations made by the claimant
• Issue timely coverage position letters
• Conduct factual investigation directly or with the assistance of investigators
• Review and analyze various documents such as contracts, leases, condo/co‑op governing documents, the insured’s business records, public records, medical records, property damage scopes, etc.
• Setting proper reserves timely; making a fair and prompt settlement determination
• Negotiate settlements
• Follow all company and departmental protocols
• Direct defense counsel, monitor/review discovery
• Maintain accurate and complete file notes
• Maintain current and meaningful diary system
• Participates in special projects and performs additional duties as required

Requirements

• Bachelors Degree required
• CPCU, AIC, SCLA and other insurance professional designations preferred
• 2+ years of experience handing premises liability claims required
• Familiarity with ImageRight and Guidewire a plus

Hard Skills

• Claims Adjustment
• Coverage Verification
• Factual Investigation
• Settlement Determination
• File Management

Soft Skills

• Attention to Detail
• Communication Skills
• Problem-Solving

Certifications & Qualifications

• Bachelors Degree
• CPCU
• AIC
• SCLA