Custom Liability Claims Examiner

GREATER NEW YORK MUTUAL INSURANCE COMPANY•New York, NY

About The Position

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.

Requirements

Bachelor’s degree required.
4+ years of experience handing premises liability claims required.
Advanced knowledge and understanding of NY Labor Law required.
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.
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.

Nice To Haves

CPCU, AIC, SCLA and other insurance professional designations preferred.
2 years experience handling labor law claims preferred.
Familiarity with ImageRight and Guidewire a plus.

Responsibilities

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.