Liability Claims Examiner - NJ

GREATER NEW YORK MUTUAL INSURANCE COMPANY; Edison (NJ); On-site; USD 62,000 - 141,000; Full time

Job summary

GREATER NEW YORK MUTUAL INSURANCE COMPANY seeks an examiner to adjust and defend claims. You will review policies for coverage, investigate liability, and propose damages assessments, with emphasis on timely reserves and settlements.

The role requires a Bachelor’s degree, 2+ years’ premises liability claims experience, and strong communication, negotiation, and analytical skills. Travel locally as needed.

Qualifications

• Bachelor's degree required.
• 2+ years' experience handling premises liability claims.
• Familiarity with ImageRight, WINS, Excel and Microsoft Office a plus.
• Designations CPCU/AIC/SCLA preferred.

Responsibilities

• Review and verify coverage for each claim and issue coverage letters.
• Conduct factual investigations directly or with investigators.
• Review contracts, leases, condo/co-op documents, and medical records.
• Set reserves timely and determine fair settlements.
• Negotiate settlements with claimants or attorneys.
• Direct defense counsel and monitor discovery.
• Maintain accurate file notes and diary system.
• Participate in special projects and additional duties as required.

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.