Senior Claims Adjuster

Erie and Niagara Insurance•Williamsville, NY

2d•$85,000 - $105,000

About The Position

Erie and Niagara is seeking a Senior Claims Adjuster. This is a great opportunity to join an established WNY company. The Senior Claims Adjuster is responsible for analyzing information obtained in order to evaluate claims, determine coverage, evaluate extent of loss or liability, and settle claims within prescribed limits. Works under general supervision but has a wide degree of independence and is required to exercise independent judgment within a defined scope of authority.

Requirements

AIC designation, or other equivalent industry designation is required
Possess knowledge and understanding of coverage and applicable decisional and legislative laws related to claims handling in New York State
Proficient Computer Skills to include Microsoft Word, Excel, PowerPoint, and Outlook applications
Must work well both independently and in a team environment
Strong verbal and written communication and presentation skills
Detail oriented; maintaining high level of accuracy
Exercises good judgment when corresponding with agents, insureds and claimants
Ability to maintain confidential information

Nice To Haves

7 years of claims related experience is preferred
Bachelor’s degree is preferred

Responsibilities

Responsible for the setup of claims including taking loss reports, establishing a claim file, obtaining policy information and determining applicable coverage
Responsible for establishing and monitoring adequate reserves within scope of authority
Determine settlement value of the loss and negotiate proper settlement of claims within scope of authority
Assist in providing guidance to staff for prompt settlement and disposition of claims
Responsible for preparation of denial materials including documentation and communication to affected parties when applicable. Responsible for setting up claims including taking loss reports, establishing a claim file, obtaining policy information and input into computer systems
Document clearly and concisely all relevant activity on assigned files and make recommendations for additional activity as appropriate
Effectively communicates and builds rapport with insureds, claimants, physicians, adjusters, attorneys, witnesses and underwriters, to gather the information to make timely and appropriate decisions on claims
Seeks subrogation from responsible parties when applicable
Become knowledgeable on current reinsurance contracts and interacts regularly regarding recoveries
Maintains a high level of knowledge of insurance regulations to ensure compliance
Keeps abreast of trends and changes in the marketplace and makes recommendations accordingly
Responsible for auditing and approving claims related expenses as it relates to assigned claims within level of authority and elevates claim expenses outside authority level to the Claim Manager
May assist in the training of departmental employees
Provides claims related support to Underwriting Departments
May be required to testify in court proceedings, as requested
Performs other related duties as assigned by the Claims Manager