Senior Liability Claims Examiner (Trial Prep Unit)

GREATER NEW YORK MUTUAL INSURANCE COMPANY•New York, NY

About The Position

The Trial Prep Unit (TPU) Senior Claim Examiner is responsible for handling complex and high exposure litigated general liability bodily injury and property damage claims. This includes making coverage determinations, directing investigations, making liability determinations, evaluating damages and collaborating with defense counsel to ensure that all cases are properly prepared for a potential trial.

Requirements

A bachelors degree required.
Minimum 6 years of experience handing premises liability claims required.
Minimum of 5 years handling litigated files required.
Minimum of 5 years experience and an understanding of NY Labor Law (if handling NY claims) required.
Minimum 2 years experience in handling other complex claims such as wrongful death, mold, drownings, negligent security, etc. required.
Must be well versed in handling litigated file in the state(s) they will be assigned to handle and 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.
Intellectual curiosity.
A strong sense of urgency.
Ability to establish relationships and rapport with insured’s brokers, attorneys, etc.
To be able 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 and Guidewire a plus.

Responsibilities

Review and verify coverage throughout the life of a claim.
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.
Conduct factual investigation directly or with the assistance of investigators.
Maintain accurate and complete file notes.
Maintain current and meaningful diary system.
Setting proper reserves timely; making fair and prompt settlement determinations.
Negotiate settlements.
Coordinate efforts with defense counsel to develop strategies and disposition plans.
Make certain that all discovery, expert/IME, and motions are made timely and in accordance with the established defense strategy.
Attend mediations.
Follow all company and departmental protocols.
Participates in special projects and performs additional duties as required.