Liability Claims Examiner - NJ

GREATER NEW YORK MUTUAL INSURANCE COMPANY•Edison, NJ

2d•$61,700 - $141,400•Onsite

About The Position

The examiner adjusts and defends claims and lawsuits against our insureds. It entails reviewing policies to determine coverage, resolving questions of coverage, investigating and making liability determinations, and evaluating damages such as property damage or medical records.

Requirements

Bachelors Degree required.
2+ years of experience handing premises liability claims required.
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.
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.
Familiarity with ImageRight, WINS, EXCEL and Microsoft Office a plus.

Responsibilities

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.