Claims Examiner

• Conduct detailed investigations and assessments of Property and Casualty claims, including analyzing coverage and policy terms
• Oversee the claims process from initial notification through resolution, ensuring timely and accurate handling
• Engage empathetically and effectively with policyholders, agents, attorneys, and vendors to address inquiries and concerns
• Resolve disputes and conflicts with attention to detail while adhering to policy guidelines and regulations
• Negotiate settlements within your authority, even in challenging or high-pressure scenarios
• Review supporting documentation such as estimates, reports, and medical records to evaluate the validity of claims
• Monitor compliance with New York State insurance regulations and company standards throughout the claims process
• Maintain organized and accurate claim files, ensuring documentation is timely and thorough
• Identify opportunities for fraud detection or subrogation and take appropriate action

• Proven experience in handling Property and Casualty claims, demonstrating expertise in claims processing
• Solid knowledge of New York State insurance regulations and compliance requirements
• Strong analytical and problem-solving skills to evaluate claims and make sound decisions
• Excellent communication skills, both written and verbal, to interact effectively with stakeholders
• Ability to negotiate settlements and resolve disputes while maintaining professionalism
• Familiarity with reviewing and interpreting estimates, reports, and medical documentation
• High level of organizational skills to manage multiple claims and ensure accurate record-keeping
• Proficiency in identifying potential fraud or subrogation opportunities and taking action accordingly

NYS Adjuster License preferred or the ability to obtain

• Medical, vision, dental, and life and disability insurance
• Company 401(k) plan
• Free online training