Liability Claims Examiner - NY
About The Position
The Liability Claims Examiner examines, adjusts, and defends claims and lawsuits against insureds. The role involves reviewing policies to determine coverage, resolving coverage questions, investigating claims, making liability determinations, and evaluating damages such as property damage and medical records. The examiner reviews coverage and allegations, issues coverage position letters, conducts factual investigations, analyzes relevant documents, establishes reserves, determines fair and prompt settlements, and negotiates settlements. The role also directs defense counsel, monitors and reviews discovery, follows company and departmental protocols, and maintains complete file notes and a current diary system. Occasional local travel may be required. The position’s annual salary range is $69,100–$124,400, with eligibility for an annual discretionary performance-based bonus. Salary may vary based on performance, education, experience, skills, location, travel requirements, proficiency, and business needs.
Requirements
- Bachelor’s degree required.
- At least 2 years of experience handling premises liability claims required.
- Strong written and verbal communication skills.
- Good interpersonal, analytical, and negotiation skills.
- Intellectual curiosity and a strong sense of urgency.
- Ability to establish relationships and rapport with insureds’ brokers, attorneys, and others.
- Ability to empathize with unrepresented claimants.
Nice To Haves
- CPCU, AIC, SCLA, or other insurance professional designations preferred.
- Familiarity with ImageRight and Guidewire is a plus.
Responsibilities
- Review and verify coverage for each claim, including reviewing policies and comparing them with claimant allegations.
- Issue timely coverage position letters.
- Conduct factual investigations directly or with assistance from investigators.
- Review and analyze documents, including contracts, leases, condo/co-op governing documents, insured business records, public records, medical records, and property damage scopes.
- Set appropriate reserves in a timely manner and make fair, prompt settlement determinations.
- Negotiate settlements.
- Follow company and departmental protocols.
- Direct defense counsel and monitor and review discovery.
- Maintain accurate and complete file notes.
- Maintain a current and meaningful diary system.
- Participate in special projects and perform additional duties as required.
- Travel occasionally, generally locally.
- Attain and maintain licenses for states requiring them when assigned to those states.
Benefits
- Eligibility for an annual discretionary bonus based on performance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
