Senior Claims Specialist - Primary Casualty

Davita Inc.; New York (NY); Hybrid; USD 80,000 - 120,000; Full time

Job summary

Join a leading insurance provider as a claims reviewer, responsible for evaluating claims, investigating fraud, and ensuring compliance with legal frameworks. With a competitive salary and comprehensive benefits, this role demands expertise in claims handling and specific knowledge of New York Labor Law. Embrace a hybrid work environment while contributing to a dedicated team.

Benefits

Comprehensive benefits package

Tuition reimbursement

Paid vacation

Incentive targets

Medical and wellness benefits

Qualifications

• Typically 7 to 10 years of related claims handling experience.
• Supervisory perspective preferred.
• Proficiency in analyzing coverage issues.

Responsibilities

• Review and document claims processes and evaluation.
• Investigate claims related to New York Labor Law.
• Make settlement recommendations and prepare reports.

Skills

Claims handling

Investigation

Risk assessment

Education

Bachelor's Degree or equivalent work experience

Job description

This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.

At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.

All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.

Please note this role requires a hybrid work schedule three days per week in the office. This role can be based in any of these AXIS office locations: NYC; Red Bank, NJ; and Alpharetta, GA.

* Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim.

* Utilize working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise, especially Construction and New York Labor Law.

* Investigate assigned claims and develop resolution strategies, including investigation of Construction and New York Labor Law claims, to include contracts, daily logs, employee records, incident reports, etc.

* Excel in a best practices claim environment, thoroughly documenting the claim process.

* Responsible for the timely evaluation, reserving, and disposition of assigned claims.

* Document coverage, investigation, damages, reserve rationale, negotiations, etc., associated with each claim.

* Review contracts for risk transfer evaluations, coverage analysis, and tender review.

* Investigate potentially fraudulent claims and take appropriate action.

* Make recommendations for settlement/disposition of claims.

* Identify opportunities for contribution, subrogation, and contribution to the claim.

* Qualifications include a Bachelor's Degree or equivalent work experience, typically 7 to 10 years of related claims handling experience in a primary commercial casualty insurance environment or similar, supervisory experience or perspective, and proficiency in analyzing coverage issues and drafting correspondence, especially related to New York Labor Law, Product Liability, and Complex litigation claims.

* Responsibilities include reviewing claims, documenting processes, evaluating and reserving claims, investigating fraud, making settlement recommendations, and preparing reports for senior management. Travel to mediations or settlement conferences may be required. Other duties as assigned.

Benefits include a competitive salary range depending on location and experience, incentive targets, and a comprehensive benefits package including medical, wellness, retirement, tuition reimbursement, paid vacation, and more.