Senior Liability Claims Examiner (Trial Prep Unit)

Greater New York Insurance Companies; New York (NY); On-site; USD 87,000 - 161,000; Full time

Job summary

Greater New York Insurance Companies is seeking a Senior Claim Examiner for its Trial Prep Unit in New York. You will handle complex litigated general liability and property damage claims, determine coverage, direct investigations, and work with defense counsel to prepare cases for trial.

The role requires strong negotiation, analytical, and communication skills, with several years of experience in premises liability and litigated files. Travel locally may be required.

Qualifications

• Bachelor's degree is required.
• CPCU, AIC, SCLA and other designations preferred.
• Minimum 6 years of premises liability claim experience.
• Minimum 5 years handling litigated files.
• Minimum 5 years NY Labor Law knowledge (if handling NY claims).
• 2+ years handling other complex claims such as wrongful death, mold, drownings.

Responsibilities

• Review and verify coverage throughout the life of a claim.
• Review and analyze various documents relevant to the claim.
• Conduct factual investigation directly or with investigators.
• Maintain accurate and complete file notes.
• Maintain current diary system and proper reserves.
• Settle and negotiate settlements.
• Coordinate with defense counsel to develop strategies.

Skills

Communication skills

Analytical skills

Negotiation skills

Interpersonal skills

Empathy

Education

Bachelor's degree

Insurance designations

Tools

ImageRight

Guidewire

Job description

Position Summary

The Trial Prep Unit (TPU) Senior Claim Examiner is responsible for handling complex and high exposure litigated general liability bodily injury and property damage claims. This includes making coverage determinations, directing investigations, making liability determinations, evaluating damages and collaborating with defense counsel to ensure that all cases are properly prepared for a potential trial.

Essential Duties And Responsibilities

• Review and verify coverage throughout the life of a claim.
• 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.
• Conduct factual investigation directly or with the assistance of investigators.
• Maintain accurate and complete file notes.
• Maintain current and meaningful diary system.
• Setting proper reserves timely; making fair and prompt settlement determinations.
• Negotiate settlements.
• Coordinate efforts with defense counsel to develop strategies and disposition plans.
• Make certain that all discovery, expert/IME, and motions are made timely and in accordance with the established defense strategy.
• Attend mediations.
• Follow all company and departmental protocols.
• Participates in special projects and performs additional duties as required.

Qualifications

Education and Experience

• A bachelors degree required.
• CPCU, AIC, SCLA and other insurance professional designations preferred.
• Minimum 6 years of experience handing premises liability claims required.
• Minimum of 5 years handling litigated files required.
• Minimum of 5 years experience and an understanding of NY Labor Law (if handling NY claims) required.
• Minimum 2 years experience in handling other complex claims such as wrongful death, mold, drownings, negligent security, etc. required.
• Must be well versed in handling litigated file in the state(s) they will be assigned to handle and must be able to direct defense counsel and think independently.
• Must be able to develop defense tactics and strategies.
• 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.
• To be able 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 $86,800-$160,700. 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.