Liability Claims Examiner - NJ

GNY Insurance Companies; Edison (NJ); On-site; USD 62,000 - 141,000; Full time

Job summary

GNY Insurance Companies is seeking an examiner to adjust and defend claims and lawsuits for our insureds. The role involves reviewing policies to determine coverage, resolving questions of coverage, investigating liability, and assessing damages such as property or medical records.

You will manage reserves and negotiate settlements with claimants and counsel. Qualifications include a Bachelor's Degree, 2+ years of premises liability experience, and familiarity with ImageRight, WINS, Excel, and

Qualifications

• Bachelor's Degree required.
• 2+ years of experience handling premises liability claims.
• Familiarity with ImageRight, WINS, Excel and Microsoft Office a plus.

Responsibilities

• Review and verify coverage for each claim and issue timely coverage letters.
• Conduct factual investigations directly or with investigators.
• Review and analyze contracts, leases, and related documents.
• Set proper reserves and make fair settlement determinations.
• Negotiate settlements with claimants and counsel.
• Maintain files and diary systems; follow protocols.
• Direct defense counsel and monitor discovery.
• Participate in special projects as needed.

Skills

Communication

Negotiation

Interpersonal skills

Analytical

Empathy

Education

Bachelor's Degree

CPCU

AIC

SCLA

Tools

ImageRight

WINS

Excel

Microsoft Office

Job description

Position Summary

The examiner adjusts and defends claims and lawsuits against our insureds. It entails reviewing policies to determine coverage, resolving questions of coverage, investigating and making liability determinations, and evaluating damages such as property damage or medical records.

Essential Duties and Responsibilities

• 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.

Qualifications

Education and Experience

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

Skills

• Strong written and verbal communication skills required as well as good interpersonal, analytical and negotiation skills.
• Intellectual curiosity.
• A strong sense of urgency.
• Ability to establish relationships and rapport with insured's brokers, attorneys, etc.
• Ability to empathize with unrepresented claimants.

Other Requirements

• Ability to travel occasionally, generally locally.
• Attain/maintain any licenses in states that require them if assigned to those states.

Compensation

The salary range for this role is $61,700-$141,400. The listed annual salary range posted for this position is subject to change and may vary depending on performance, education, experience, skills, geographic location, travel requirements, demonstrated proficiency in the competencies required for the role and business needs. Base pay is just one component of GNY's total compensation package for employees. Other rewards include eligibility for an annual discretionary bonus based on performance.