Liability Claims Examiner - NY

GREATER NEW YORK MUTUAL INSURANCE COMPANY; New York (NY); On-site; USD 69,000 - 124,000; Full time

Job summary

GREATER NEW YORK MUTUAL INSURANCE COMPANY is seeking an experienced claims professional to examine, adjust, defend claims and lawsuits arising from insureds. The role involves reviewing policies for coverage, resolving coverage questions, investigating, and making liability determinations across a range of property and medical records related damages.

The ideal candidate will have a Bachelor’s degree, 2+ years of premises liability claims experience, and may hold CPCU/AIC designations.

Qualifications

• Bachelor’s degree required; CPCU/AIC and other designations preferred.
• Minimum 2 years experience handling premises liability claims.
• Familiarity with ImageRight and Guidewire is a plus.

Responsibilities

• Review and verify coverage for each claim and issue coverage letters.
• Investigate claims and set reserves; determine settlements.
• Negotiate settlements with claimants; monitor defense and discovery.
• Direct defense counsel and manage discovery.
• Maintain accurate file notes and a current diary system.
• Travel occasionally; maintain licenses where required.

Skills

Communication skills

Negotiation

Analytical thinking

Interpersonal skills

Empathy

Education

Bachelor's degree

CPCU/AIC designation

Insurance designations preferred

Tools

ImageRight

Guidewire

Job description

Job Location

NEW YORK HEADQUARTERS - NEW YORK, NY 10118

Job Category

Insurance

Position Summary

To examine, adjust, defend claims and lawsuits against our insureds. The role 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, including 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.
• Set proper reserves timely; make 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.
• Participate in special projects and perform additional duties as required.

Education and Experience

• 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 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.

Salary Range

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.