Liability Claims Examiner - NY

GNY Insurance Companies; New York (NY); On-site; USD 69,100 - 124,400; Full time

Job summary

GNY Insurance Companies seeks an experienced claims professional to examine, adjust, defend, and resolve claims against insureds. You will review policies for coverage, investigate, and determine liability and damages, negotiating settlements as needed.

The role requires 2+ years of premises liability claims handling, with CPCU/AIC/SCLA designations preferred. Proficiency with ImageRight and Guidewire is a plus, and occasional travel may be required.

Qualifications

• Bachelor's degree required.
• 2+ years of experience handling premises liability claims.
• CPCU, AIC, SCLA or similar designations preferred.
• Familiarity with ImageRight and Guidewire is 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 and analyze contracts, leases, governing documents, and medical records.
• Set reserves timely and determine fair settlements.
• Negotiate settlements and direct defense counsel.
• Maintain accurate file notes and diary system.
• Participate in special projects and other duties as required.

Skills

Strong communication

Negotiation

Urgency

Relationship building

Empathy

Education

Bachelor's degree

Insurance designations (CPCU/AIC/SCLA)

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.

Compensation

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