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Utica National Insurance Group
General Liability Litigation Specialist - Concentration in NYLL
Career Insights for Claims Examiner (General)
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Based on New York data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$85,722 / year median in New York
-0% projected decline
Job Description
The Company At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte. What you will do You'll be responsible for investigating, evaluating, negotiating, and resolving commercial general liability claims in primarily New York venues with a concentration in New York Labor Law. With skills in detail orientation and analysis, you will interpret coverage and prepare detailed coverage letters. Through frequent contact with defense counsel, you will use decision making skills to guide, review, and authorize work on litigated cases. Consultation with supervisors on complex coverage and litigated matters will occur as needed. This position requires advanced industry knowledge and strong claims handling acumen with a thorough understanding of state laws and requirements. This is a hybrid role reporting to our New Hartford, NY; Woodbury, Long Island; or Charlotte-Ballantyne, NC location. Key responsibilities Investigate, evaluate, negotiate, and resolve primarily New York commercial general liability claims with a concentration in New York Labor Law. Interpret coverage to include drafting of comprehensive coverage position letters, evaluate damages, and negotiate settlements with limited supervisor intervention. Control, direct, authorize, and review activities of assigned defense counsel. Operate independently and resolve claims within and assigned authority. Consult with supervisor on more complex coverage and litigated matters. Attend mediations, trials, and hearings as needed to include interaction with insureds agents and legal representatives. Review court decisions and coverage interpretations and have a broad knowledge and understanding of the law and claim practices. Effectively handle the complex/serious claims within Regional Operations. Provide an excellent customer service experience on all claims. Additional Responsibilities Serve as mentor to lesser experienced team members. Perform other duties as assigned. Conform with all corporate policies and procedures. What you need Four year degree preferred or equivalent experience. 5+ years of commercial general liability experience. Experience in handling litigated files with strong coverage analysis skills required. Knowledge of NY venues and New York Labor Law claims. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained withing the timeframe set forth by the company and must be maintained as needed throughout your employment.