Must have current insurance experience and hold a P&C license.
Position Summary:
This position involves day-to-day responsibilities that require independent judgment and discretion, contributing to the department’s ongoing success.
Essential Functions & Basic Duties:
(This job specification may not include all the duties listed, nor do the examples cover all the duties that may be performed.)
- Act as a constant advocate and liaison between clients and carriers.
- Investigate, evaluate, and handles general liability claims for self-insured clients from inception to resolution.
- Responsible for all claim handling aspects of assigned accounts.
- Actively advocate on behalf of client and work claim toward resolution.
- Communicate with insureds, carriers and other necessary parties to monitor and track all open and /or closed claims for assigned accounts.
- Request and gather necessary documents, information and data for claims analysis.
- Prepare claims reviews for client on open claims and present during meetings.
- Maintain and actively monitor claims diary.
- Interview insureds, claimants and witnesses to determine the claim facts.
- Analyze medical records.
- Assess bodily injury and property damage claims.
- Adjust reserves and negotiate claims to resolution.
- Request and gather necessary documents, information and data for claims analysis.
- Prepare Claims Reviews on open claims and present to the client.
- Maintain and actively monitor claims diary.
- Analyze new claims for coverage issues.
- Review vendor bills and check for compliance with billing guidelines.
Supervisory Duties:
- No specific supervisory responsibilities, but frequently required to instruct Claims Administrator on the submission of claims and which lines of business are applicable.
Knowledge, Skills, & Abilities:
- Computer skills and proficiency with tools such as Outlook, Excel and Word.
- Strong interpersonal, decision-making, strategic planning and problem-solving skills.
- Experience in claims handling practices and procedures concerning both Commercial and Personal Lines Insurance.
- Ability to actively advocate on behalf of client and work claim toward resolution.
- Excellent verbal and written communication skills.
- Professional/Goal oriented.
- Ability to work independently and in a team environment.
- Proficient in use of claims management and documentation software (e.g., FileHandler, GRA, etc.) excel, Teams and Zoom.
Education and Work Experience:
- Bachelor’s Degree.
- NY Independent General Adjuster License.
- 5+ years in insurance industry adjusting claims.
Why SterlingRisk?
Salary:
The estimated base salary range for this full-time position is $100,000 – $110,000 annually, plus benefits, and can vary based on location.
