Sr. Claims Examiner

Core Specialty Insurance Holdings, Inc.•Long Beach, NY

31d•$75,000 - $90,000•Hybrid

About The Position

Multi-state commercial insurance carrier is seeking a qualified Senior Claims Examiner for a position in their Long Beach, NY office. A hybrid work schedule is available. Key Accountabilities/Deliverables: Investigate large and complex commercial insurance automobile, cargo and general liability claims. Key tasks include investigation of policy coverage and liability with a detailed analysis of applicable state laws, damage determination for property, commodity and personal injury claims and the management of litigation on large and complex commercial claims. Responsibilities include establishing a course of action to conclude claims timely and in compliance with state regulatory requirements. Exposures are to be analyzed and proper reserves established. Discussion and presentation of high exposure claims with senior management is required. Task assignments to outside vendors, including outside defense counsel is required along with oversight and management of the vendor. Communication to policyholders, agents and underwriting on key claim issues is required. Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders. Minimal travel may be required to attend mediations, trials and training activities. At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program Core Specialty offers a diversified range of property and casualty insurance products for small to mid-sized businesses. From underwriting offices spanning the U.S., the Company focuses on niche markets, local distribution, and superior underwriting knowledge, offering traditional as well as innovative insurance solutions to meet the needs of its customers and brokers. For further information about Core Specialty, please visit www.corespecialtyinsurance.com. In compliance with the Transparency in Coverage rule, issued in 2020 by US Departments of Health, Human Services, Labor and Treasury our health plan’s machine-readable files (MRFs) can be accessed via www.Cigna.com.

Requirements

Strong analytical skills are required to effectively and efficiently analyze information.
The candidate must possess excellent verbal and written communication skills to express evaluations and resolve claims through a well-planned negotiation strategy.
Customer service skills, organizational skills and a willingness to work in a team-oriented environment are essential.
Computer skills including data entry and a knowledge of Word and Excel are also required.
Bachelor’s degree or equivalent work experience
5 plus years of experience handling large and complex injury claims, including files in litigation.
Applicants must be authorized to work for any employer in the U.S.
We are unable to sponsor or take over sponsorship of an employment Visa for this position.

Responsibilities

Investigate large and complex commercial insurance automobile, cargo and general liability claims.
Investigation of policy coverage and liability with a detailed analysis of applicable state laws
Damage determination for property, commodity and personal injury claims
Management of litigation on large and complex commercial claims
Establishing a course of action to conclude claims timely and in compliance with state regulatory requirements.
Analyze exposures and establish proper reserves
Discussion and presentation of high exposure claims with senior management
Task assignments to outside vendors, including outside defense counsel is required along with oversight and management of the vendor.
Communication to policyholders, agents and underwriting on key claim issues
Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders.
Attend mediations, trials and training activities.