Liability Claims Examiner - NY

Greater New York Insurance Companies; New York (NY); On-site; USD 69,000 - 124,000; Full time

Benefits offered by this job

Annual discretionary bonus

Job summary

Greater New York Insurance Companies is seeking a claims professional to examine, adjust, defend, and settle premises liability claims for our insureds. You will review coverage, conduct investigations, and determine liability while evaluating damages from property to medical records.

The role includes reserving, negotiating settlements, and coordinating with defense counsel as needed. Qualifications include a bachelor's degree and 2+ years in premises liability claims; CPCU/AIC/SCLA

Qualifications

• Bachelor's degree required.
• Professional designations CPCU/AIC/SCLA preferred.
• 2+ years of premises liability claims experience required.
• Familiarity with ImageRight and Guidewire a plus.

Responsibilities

• Review and verify coverage for each claim, including policy review and comparison to allegations.
• Conduct factual investigations directly or with investigators.
• Review documents such as contracts, leases, and medical records.
• Set reserves timely and determine fair settlements.
• Negotiate settlements.
• Direct defense counsel and monitor discovery.
• Maintain complete file notes and diary system.
• Participate in special projects and other duties as required.

Skills

Communication

Interpersonal skills

Analytical skills

Negotiation

Curiosity

Urgency

Relationship building

Empathy

Education

Bachelor's degree

CPCU / AIC / SCLA designations

Tools

ImageRight

Guidewire

Job description

Position Summary

To examine, adjust, defend, claims and lawsuits against our insureds. In 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 and Guidewire 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 $69,100-$124,400. 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.