Claims Examiner

Crum & Forster • New York, NY

15h • $60,100 - $88,100

About The Position

Seneca, a wholly owned subsidiary of Crum & Forster, is seeking a Claims Examiner to manage an assigned pending of claims arising from insurance policies, primarily Commercial General Liability. The examiner operates under appropriate supervision and within established authority, and reports to an assigned Manager, AVP, or Vice President, as determined by business needs. The position may be located in New York, NY, or Jersey City, NJ, with flexible work options available.

The Claims Examiner is accountable for equitable and prompt adjustment and management of assigned claims through disposition in accordance with company Best Practices. The role involves evaluating coverage, investigations, reserves, and claim handling; managing litigated files and recoveries; and providing superior service to agents, insureds, customers, and others involved in the claims process. Occasional travel is required.

Requirements

• Bachelor’s degree or equivalent experience.
• Obtain and maintain required state licenses.
• Excellent verbal and written communication skills, including the ability to communicate with all levels within the organization.
• Computer skills and working knowledge of Microsoft Office suite programs.
• Occasional travel is required.

Nice To Haves

• A designation and/or insurance-related courses.
• Understanding or knowledge of contractual indemnity and additional insured risk transfer opportunities.

Responsibilities

• Receive claims assignments and verify and determine coverage applicability.
• Determine the method and extent of claim investigations in accordance with company Best Practices.
• Review and manage assigned outstanding files for the adequacy and timeliness of investigation, evaluation, and reserves, and maintain a timely diary for each case.
• Evaluate and adjust claims within the adjuster’s authority level.
• Report directly to a supervisor or management on technical matters.
• Evaluate and manage litigated claims, determine the future course of handling and appropriate disposition, and consult the claim manager when assistance is needed or a claim exceeds assigned authority.
• Assess recovery potential and develop the information needed to pursue recovery successfully.
• Meet with current and prospective customers to discuss Seneca’s claims capabilities and address specific claim needs.
• Promptly and equitably adjust and manage assigned claims through disposition in accordance with company Best Practices.
• Provide superior customer service to agents, insureds, and others encountered during the claims handling process.
• Travel occasionally as required.

Benefits

• Competitive compensation package.
• Generous 401(k) employer match.
• Employee Stock Purchase Plan with employer matching.
• Generous Paid Time Off.
• Benefits supporting physical, mental, and financial well-being, including health, dental, and vision coverage.
• Tuition reimbursement, industry-related certifications, and professional training.
• Potential eligibility to participate in discretionary equity-based compensation and/or performance-based variable pay programs.
• Matching donation program, volunteer opportunities, and an employee-driven corporate giving program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level