- Inception to closure claim handling of claims on assigned special accounts, including multi-state claim handling.
- 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.
- Bachelor's degree required.
- CPCU, AIC, SCLA and other insurance professional designations preferred.
- 4+ years of experience handing premises liability claims required.
- Advanced knowledge and understanding of NY Labor Law required. 2 years experience handling labor law claims preferred.
- Must have experience in handling other complex claims such as wrongful death, mold, drownings, negligent security, etc.
- Must be able to direct defense counsel and think independently.
- Must be able to develop defense tactics and strategies.
- Familiarity with ImageRight, WINS, EXCEL and Microsoft Office a plus.
- Strong written and verbal communication skills required as well as good interpersonal, analytical and negotiation skills.
- Strong customer focus skills with the ability to handle complex accounts.
- Intellectual curiosity.
- Strong sense of urgency
- Ability to establish relationships and rapport with insured's brokers, attorneys, etc.
- Ability to empathize with unrepresented claimants.
- Ability to travel occasionally, generally locally
- Attain/maintain any licenses in states that require them if assigned to those states.
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Claims Examiner
1 week ago
Prudential Newark, United StatesJob Classification: · Operations - Insurance Operations · - The Office of Servicemembers' Group Life Insurance (OSGLI) administers the Servicemembers' Group Life Insurance program (SGLI). SGLI offers life insurance products to active-duty service members, Veterans, and their fami ...
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Claims Examiner
1 week ago
Berkley Environmental Jersey City, United StatesW. R. Berkley Corporation, founded in 1967, is one of the nation's premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of covera ...
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Claim Examiner
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Collabera New York, United StatesClient: Management and Consulting company · Title: Claim Examiner · Location: 100% Remote (Work from home) · Rates: $18/hr -- $20/hr · Duration: 6 Months · Note: Adjuster license in New York State and Washington State is Required · Job Description: · Claims processing experien ...
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Claims Examiner
2 weeks ago
MagnaCare New York, United StatesAbout The Role · Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all ...
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Claims Examiner
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MagnaCare New York, United StatesAbout The Role · Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to al ...
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Claims Examiner
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Berkley Jersey City, United StatesCompany Details: · W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Claims Examiner
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Berkley Jersey City, United StatesCompany Details: · W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Claims Examiner
2 weeks ago
Berkley Jersey City, United StatesCompany Details: · W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Claims Examiner
2 days ago
Berkley Jersey City, United StatesCompany Details: · W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Claims Examiner –Remote
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Generis Tek Inc New York, United StatesPlease Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty at email address can be reached on # · We have Contract role for Claims Examiner –Remote for our client Garden City NY. Please let me know if you or any of y ...
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AIG Jersey City, United StatesAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. · General Insurance is a leading provider of insuranc ...
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Liability Claims Examiner
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GREATER NEW YORK MUTUAL INSURANCE COMPANY New York, United StatesJob DetailsLevelExperiencedJob LocationNEW YORK HEADQUARTERS - NEW YORK, NYRemote TypeHybridPosition TypeFull TimeJob CategoryInsuranceDescriptionPosition Summary: To examine, adjust, defend, claims and lawsuits against our insureds. Entails reviewing policies to determine covera ...
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Cyber Claims Examiner
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Selby Jennings New York, United StatesSelby Jennings has partnered with a Global P&C Insurer as they are looking to add a Cyber Claims Examiner to their team. This position can be held remotely or on a hybrid basis depending on the candidate's location. · Responsibilities: · Oversee Cyber Claims · Experience working ...
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Associate Claims Examiner
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Arch Capital Group, Ltd. Jersey City, United StatesAs the Associate develops skill and gains experience, on-the-job responsibilities will include but are not limited to:Managing Claims on behalf of Arch Customers. Claim Handling responsibilities included but not limited to:Coverage analysis. Exposure Claims, Associate, Examiner, ...
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Sr. Claims Examiner
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W.R. Berkley Corporation Jersey City, United StatesCompany Details · W. R. Berkley Corporation, founded in 1967, is one of the nation's premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Sr. Claims Examiner
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W. R. Berkley Jersey City, United StatesThis Senior Claims Examiner is responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $100, This position requ Claims, Examiner, Insurance · ...
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Senior Claim Examiner
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Chubb Jersey City, United StatesJob Description · This is not your average Claims role. · When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper? · A career in Employment Practices Liability exposes you to emerging issues in the ...
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Sr. Claims Examiner
1 week ago
Berkley Jersey City, United StatesCompany Details: · W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers ...
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Sr. Claims Examiner
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Eclaro Jersey City, United StatesSenior Claims Examiner · Job Number: · Ready for a rewarding opportunity in the Financial Services Industry? Eclaro is looking for a Senior Claims Examiner for our client in Jersey City, NJ. · Eclaro's client is a market-leading insurance company, providing property, casualty ...
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Senior Claims Examiner
1 week ago
Chubb Jersey City, United StatesJob Description · Position may be filled in Jersey City NJ, Simsbury CT or Pittsburgh, PA · This is not your average Claims role. When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper? · A career i ...
Custom Liability Claims Examiner - New York, United States - GNY Insurance Companies
Description
Job Details
Level Experienced Job Location NEW YORK HEADQUARTERS - NEW YORK, NY Remote Type Hybrid Education Level 4 Year Degree Job Category InsuranceDescription
Position Summary: To handle claims associated with GNY Custom book and other select accounts from inception to closure. To assure that there are accurate reserve and expense controls are implemented. To focus on the early and fair disposition of cases. To coordinate with defense counsel to make sure that all cases are properly prepared for a potential trial. To assist underwriting and loss control in account reviews. Interact with insured and broker as often as may be required.
Essential Duties and Responsibilities:
Qualifications Education and Experience:
Skills:
Other Requirements:
The salary range for this role is $74,600-$145,500. 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.
Custom Liability Claims Examiner professionals in New York City
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Ricardo Rodrigues
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Luisa Mahecha
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Geneice Hodge
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Marcia Wilson
Image consultant
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Eric Pitty
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Stephen Young
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