Liability Claims Examiner - NJ

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

Benefits offered by this job

Annual discretionary bonus

Job summary

Greater NY Insurance Companies in New Jersey is seeking a qualified Claims Examiner to adjust and defend claims involving insureds. You will review coverage, investigate, determine liability, and evaluate damages across property and medical records.

The role requires 2+ years of premises liability claims experience, a Bachelor's degree, and professional designations such as CPCU or AIC are preferred. Strong communication, negotiation, and urgency are essential; occasional local travel may be

Qualifications

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

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.

Skills

Strong communication

Negotiation

Analytical skills

Interpersonal skills

Empathy

Education

Bachelor's degree

CPCU

AIC

SCLA

Tools

ImageRight

WINS

Excel

Microsoft Office

Job description

Job Details

Job Location: NEW JERSEY - EDISON, NJ 08837

Position Type: Full Time

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

• 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.

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.