Senior General Liability Claims Examiner

Senior General Liability Claims Examiner

Property & Casualty Insurance Industry

Examine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. This includes reviewing the terms, conditions and exclusions of the insurance policy to determine whether or not the claim presented is covered, conducting an investigation of the facts and circumstances of the claim presented, securing necessary medical and other documentation of alleged damages and negotiating settlements with claimants and attorneys. Review coverage under the policy of insurance that the claim or lawsuit was submitted under to determine whether or not coverage for the claim or lawsuit is in order. Conduct an initial investigation of the facts and circumstances of the claim presented by contacting both the insured and claimant (or attorney, if claimant is represented) to get more specifics. This includes securing copies of any applicable contracts, leases, and certificates of insurance from any 3rd party tortfeasors for potential risk transfer. Secure copies of medical records and other documentation of damages alleged from claimants or their attorney to assist in the evaluation of the claim presented. Review the claimants documented damages to ensure that a proper reserve has been placed on the file.

Bachelor’s degree required. Minimum of 2 years of experience handling premises liability claims is required. Experience handling liability claims in the state of New York is required. In-depth knowledge of tort / insurance law in the jurisdiction. Knowledge of how to properly investigate and prepare claims and lawsuits for trial required. One or more of the following Professional Designations - AIC, CPCU, SCLA is preferred. Well versed with Commercial General Liability (CGL) coverage forms. Knowledge of Microsoft Office 365 required. Experience with ImageRight and WINS a plus.

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