BD
Medical Claims Specialist handling medical - only workers’ compensation claims at Berkshire Hathaway. Managing caseloads from inception to resolution post - training completion.
AL
Hybrid Senior Claims Examiner, New York Labor Law
Posted 1 hour ago
About the role
- Senior Claims Examiner handling New York Labor Law claims at Arch Insurance Group. Overseeing claims, developing strategies, and assessing liability and damages for resolution.
Responsibilities
- actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law coverage, liability, and damage claims
- 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
Requirements
- Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims
- 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%
Benefits
- multiple medical plans plus dental, vision and prescription drug coverage
- competitive 401k with generous matching
- PTO beginning at 20 days per year
- up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer
- basic Life and AD&D Insurance
- Short and Long-Term Disability
- Paid Parental Leave of up to 10 weeks
- Student Loan Assistance
- Tuition Reimbursement
- Backup Child and Elder Care
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Claims Handler managing pet insurance claims at Lassie in Paris. Providing support to pet owners and collaborating with veterinarians in a hybrid work environment.
Workers’ Compensation Claims Representative at West Bend, guiding injured employees through the recovery process and ensuring fair claim resolution. Opportunity to lead with confidence in problem - solving and negotiation.
Bodily Injury Claims Specialist managing a large inventory of complex claims for National Interstate Insurance. Conducting investigations and analyzing settlements for compensability and liability issues.
Entry - level Claims Representative II Trainee providing foundational claims handling at Inservco Insurance Services. Assisting in basic claims under supervision while learning best practices and customer service.
Claims Examiner at ICW Group managing complex claims while providing exceptional service. Focused on resolution strategies, collaboration, and regulatory compliance in the insurance sector.
Sr. Claims Examiner handling litigation losses for insurance brokerage in Garden City, NY. Investigating claims, managing adjusters, and ensuring proper loss reserving in a hybrid work environment.
Claims Representative II managing moderate - to - complex bodily injury and general liability claims. Investigating losses, determining liability, and negotiating settlements in various states of the US.
Claims Examiner responsible for adjudicating workers' compensation claims for California clients. Analyzing claims, negotiating settlements, and ensuring compliance with client service requirements and industry standards.
Claims Examiner analyzing complex workers' compensation claims for Sedgwick, a global risk and claims administration leader. Ensuring claims adjudication meets service expectations and client requirements.