Senior Claims Examiner

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