Custom Senior Liability Claims Account Examiner

Custom Senior Liability Claims Account Examiner Property & Casualty Insurance Industry The role involves managing a custom claims portfolio and various designated accounts from start to finish. It is essential to ensure effective control over reserves and expenses. The main focus should be on resolving cases fairly and efficiently from the beginning. Collaboration with defense attorneys is necessary to guarantee all cases are adequately prepared for potential trials. Support for underwriting and loss control during account evaluations will also be required. Regular communication with insured parties and brokers will be crucial as needed. Responsibilities Claims handling for designated special accounts includes overseeing cases across multiple states, guiding each claim from initiation to resolution. Each claim must be thoroughly examined for coverage by reviewing policies and aligning them with the claims made by the claimant. Timely coverage position letters should be issued to all relevant parties. Conduct factual investigations, either directly or with investigator assistance. Analyze various documents, such as contracts, leases, governing documents for condos/co-ops, the insureds business records, and medical or property damage reports, among others. Establish accurate reserves promptly, resulting in fair and quick settlement decisions. Negotiate settlements effectively. Adhere to all company and department guidelines. Supervise defense counsel and manage the discovery process. Keep precise and comprehensive file notes, along with a current and useful diary system. Qualifications A bachelors degree is necessary. Required Skills A minimum of four years of experience in handling premises liability claims is required. In-depth knowledge of New York Labor Law is essential, with an additional two years in labor law claims preferred. Applicants should also possess experience with complex claims, including wrongful death, mold issues, drownings, and negligent security cases. The ability to direct defense counsel effectively and think independently is a must. Developing defensive tactics and strategies is essential. Preferred Skills Holding CPCU, AIC, SCLA, or other insurance industry credentials is preferred. Familiarity with systems like ImageRight and Guidewire is considered advantageous. Remote - CANDIDATES MUST BE ABLE TO TRAVEL TO NYC ON A REGULAR BASIS