Senior Claims Adjuster

Senior Claims Adjuster

Erie and Niagara is seeking a Senior Claims Adjuster. This is a great opportunity to join an established WNY company. The Senior Claims Adjuster is responsible for analyzing information obtained in order to evaluate claims, determine coverage, evaluate extent of loss or liability, and settle claims within prescribed limits. Works under general supervision but has a wide degree of independence and is required to exercise independent judgment within a defined scope of authority.

Employees may be eligible for a hybrid telecommuting schedule upon successful completion of a training period.

Responsibilities:

• Responsible for the setup of claims including taking loss reports, establishing a claim file, obtaining policy information and determining applicable coverage.
• Responsible for establishing and monitoring adequate reserves within scope of authority.
• Determine settlement value of the loss and negotiate proper settlement of claims within scope of authority.
• Assist in providing guidance to staff for prompt settlement and disposition of claims.
• Responsible for preparation of denial materials including documentation and communication to affected parties when applicable.
• Responsible for setting up claims including taking loss reports, establishing a claim file, obtaining policy information and input into computer systems.
• Document clearly and concisely all relevant activity on assigned files and make recommendations for additional activity as appropriate.
• Effectively communicates and builds rapport with insureds, claimants, physicians, adjusters, attorneys, witnesses and underwriters, to gather the information to make timely and appropriate decisions on claims.
• Seeks subrogation from responsible parties when applicable.
• Become knowledgeable on current reinsurance contracts and interacts regularly regarding recoveries.
• Maintains a high level of knowledge of insurance regulations to ensure compliance.
• Keeps abreast of trends and changes in the marketplace and makes recommendations accordingly.
• Responsible for auditing and approving claims related expenses as it relates to assigned claims within level of authority and elevates claim expenses outside authority level to the Claim Manager.
• May assist in the training of departmental employees.
• Provides claims related support to Underwriting Departments.
• May be required to testify in court proceedings, as requested.
• Performs other related duties as assigned by the Claims Manager.

Qualifications:

• 7 years of claims related experience is preferred.
• Bachelor’s degree is preferred.
• AIC designation, or other equivalent industry designation is required.
• Possess knowledge and understanding of coverage and applicable decisional and legislative laws related to claims handling in New York State.
• Proficient Computer Skills to include Microsoft Word, Excel, PowerPoint, and Outlook applications.
• Must work well both independently and in a team environment.
• Strong verbal and written communication and presentation skills.
• Detail oriented; maintaining high level of accuracy.
• Exercises good judgment when corresponding with agents, insureds and claimants.
• Ability to maintain confidential information.

Pay range for this position is $85,000-$105,000 annually depending on experience and qualifications of the selected candidate. The expected salary range for this position is displayed in accordance with the New York State Pay Transparency Law.