Casualty Supervisor (Hybrid)

NYCM Insurance•Town of Edmeston, NY

18d•$68,378 - $125,359•Hybrid

About The Position

The Casualty Supervisor will coach, mentor, give general oversight and guidance to the casualty team and examiners. They will collaborate with casualty management and lead team to determine coverage, refine investigations, formulate action plans, develop negotiation tactics and drive litigation strategies to move the claim towards resolution. They will also participate in supervisor and committee reviews to develop, implement and assess, claims processes and provide innovative solutions to common and unique claim and coverage scenarios.

Requirements

High School Diploma
3 years of Casualty Examiner or Adjuster experience
Supervisors and managers are required to have completed NYCM’s internal leadership development programs, including Employee Enrichment Journey (EEJ1) and Employee Enrichment Journey (EEJ2).
External hires must complete required leadership programs, Employee Enrichment Journey (EEJ1) and Employee Enrichment Journey (EEJ2).

Nice To Haves

Working knowledge and understanding of NYS Insurance Law Section 5102(d).
Knowledge of NYS Labor Law, Sections 240 & 241.
Working knowledge of the casualty examiner position including all duties and responsibilities.
Full knowledge of litigation process, negligence, proximate cause, causality and impact on reserving and resolution of claims.
Advanced understanding of year-to-year impact of casualty reserve and resolution on company financials.
Proficient computer skills including MS Office Excel, create and formulate spreadsheets.
Keen understanding of the human body and its various functions and medical terminology.
Ability to read and fully comprehend medical reports and all other claim documents, and the potential impact of claim value.
Skilled in giving testimony.
Excellent and effective oral, active listening, and written communication skills.
Excellent negotiation, innovative thinking, and creative problem-solving skills.
Detail oriented with excellent time management skills.
Strong leadership skills with ability to effectively coach and mentor team members.
Team builder and team player.

Responsibilities

Verify and approve timekeeping records and consult employees about any discrepancies.
Complete evaluations, progress reports and personal improvement plans for all personnel under their supervision.
Document performance feedback and other personnel matters.
Ensure adherence to company policies and procedures and undertake disciplinary actions if the need arises.
Knowledge of leave policies and coordinating with HR.
Develop, monitor, and support the completion of goals for all personnel under their supervision.
Conduct quality assurance and production review of the employees under their supervision utilizing KPIs as determined by management.
Convey fiduciary responsibility to team and customers in all communications and interactions.
Provide and receive open and authentic feedback through coaching and other daily interactions.
Assist casualty team members in claim development.
Interpret coverages, policy terms and conditions for broad insurance areas and products.
Provide in-depth coverage analysis, pre-suit/in-suit oversight, reserve/settlement authority oversight.
Maintain active participation in the daily casualty team committee review meetings.
Collaborate with house and panel counsel members.
Collaborate with team to identify and ensure timely reporting of potential bad faith matters, claims that may fall under the purview of errors and omissions, and those that may need to be reported to reinsurance.
Responsible for working with the team and counsel to set resolution and trial strategy.
Casualty team member responsible for reserves of one hundred million dollars or more.
Review, interpret and make decisions based on medical records, legal documents, and all other documentation associated with the casualty claim or any part thereof.
Testify in litigation cases against NYCM to substantiate the reasoning behind conclusions made by them and/or direct reports.
Communicate and document clearly, concisely, and consistently in all casualty files and databases.
Adjust reserves.
Continual enhancement of claim knowledge through interaction with counsel, white papers, articles, books, and seminars pertinent to claim handling processes and techniques.
Stay current on changing claims concepts.
Open to sharing of knowledge with the entire division.
Other duties as assigned.