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CWA Recruiting in New York is seeking an experienced claims professional to manage complex premises liability claims from intake to resolution. You will review policies, set reserves, coordinate with defense counsel, and ensure timely coverage determinations.
The role requires strong knowledge of NY Labor Law, experience with multi-state claims, and the ability to think independently while guiding defense tactics and maintaining thorough file notes.
Manage a custom claims book and select accounts from start to finish. Ensure accurate reserves and expense controls are in place. Prioritize the early and fair resolution of cases. Coordinate with defense attorneys to prepare all cases adequately for potential trial. Help underwriting and loss control during account reviews. Engage with insured parties and brokers as needed. Handle claims on assigned special accounts from start to finish, including multi-state claims. Review and verify coverage for each claim, which includes examining policies and comparing them to the claimant's allegations. Issue timely coverage position letters. Conduct factual investigations directly or with investigators' help. Review and analyze documents such as contracts, leases, governing documents of condos/co-ops, the insured's business records, public records, medical documents, and property damage scopes. Set proper reserves promptly; determine fair and timely settlements. Negotiate settlements. Follow all company and departmental guidelines. Direct the defense counsel and oversee discovery. Maintain accurate and comprehensive file notes. Keep an up-to-date and relevant diary system.
A bachelor's degree is required. CPCU, AIC, SCLA, and other preferred insurance designations are a plus. Six years of experience handling premises liability claims is required. Advanced knowledge of NY Labor Law is essential. Five years of experience managing labor law claims is preferred. Experience with complex claims, such as wrongful death, mold, drownings, and negligent security, is necessary. The ability to direct defense counsel and think independently is crucial. Developing defense tactics and strategies is required. Familiarity with ImageRight and Guidewire is advantageous.