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Senior Claims Examiner, New York Labor Law
4 months ago
Job Summary
The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims.
Responsibilities
- Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis
- Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
- Develop and implement strategy to resolve matters of liability and damages of a particular case
- Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker
- Investigate claim and review the insureds' materials, pleadings, and other relevant documents
- Identify and review of each jurisdiction's applicable statutes, rules, and case law
- Review litigation materials including depositions and expert's reports
- Analyze, and direct risk transfer, additional insured issues and contractual indemnity issues
- Retain counsel when necessary and direct counsel in accordance with resolution strategy
- Analyze coverage, liability and damages for purposes of assessing and recommending reserves
- Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
- Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
- Negotiate resolution of claims
- Select and utilize structure brokers
- Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from insured, counsel, underwriters, brokers, and senior management regarding claims
Education and Experience
- Bachelor’s degree required; Juris Doctorate degree preferred
- Seven to ten (7-10) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims
- Energy Casualty, Construction and/or Rail experience is a plus
- Proper Adjuster Licensing in all applicable states
- Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
- Strong time management and organizational skills
- Ability to take part in active strategic discussions
- Ability to work well independently and in a team environment
- Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
- Willing and able to travel 25%
