Senior Claims Examiner
📋 Role Overview & Responsibilities
Need NY Adjuster license and Workers Compensation Experience of NY
Job Description: Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. Analyzes claims activity and prepares reports for clients/carriers and management. Establish reserves, using independent judgment and expertise and authorize payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Develops subrogation and third party recovery potential and follows reclaim procedures. Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
Required Skills: Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Ability to work independently while assimilating various technical subjects. Strong written and oral communication, negotiation and presentation skills. Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Education: Bachelor's degree or equivalent experience.
Preferred: Industry designations such as IIA, AIC, AEI and/or CPCU
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This position is located in New York, United States with potential relocation and sponsorship assistance depending on candidate qualifications.
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