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Senior Claims Examiner - Complex GL, NY Labor Law, Bodily Injury, Remote

Work from home Full-time role Hiring

Job Description

Seneca is looking for a senior claims specialist who enjoys being a key part of a dynamic team. As a Senior Claims Examiner, you will manage an assigned pending of claims arising from insurance policies, primarily Commercial General Liability with mid-to-high level of risk and complexity. You will also be expected to operate under appropriate levels of supervision and within established authority. The position will report to assigned Manager, AVP or Vice President, as determined by business needs. This position can be in one of our offices in New York, NY, Jersey City, NJ, Morristown, NJ, or Alpharetta, GA, with flexible work options available. Remote locations will also be considered for the right candidate. What you will do for C&F:

  • Receives claims assignments. Verifies and determines applicability of coverage.
  • Determines the method and extent of investigation for each claim as required by company Best Practices.
  • Reviews and manages outstanding files, as assigned, for adequacy and timeliness of investigation, evaluation and reserve and maintains a timely diary for each case.
  • Evaluates and adjusts claims within the adjuster's authority level.
  • Reports directly on technical matters to supervisor or management.
  • Evaluates and manages litigated claims, determines future course of handling and proper method of disposition. Consults with the claim manager on those claims in which assistance and consultation is needed, as well as on those claims which exceed assigned authority.
  • Assesses recovery potential and is responsible for the development of information required to successfully pursue recovery.
  • Meets with current and prospective customers to discuss Seneca claims capabilities and address specific claim needs.
  • Accountable for the equitable and prompt adjustment and management of assigned claims to disposition in accordance with company Best Practices.
  • Responsible for providing superior customer service to all agents, insureds, and others encountered during the claims handling process.
  • Understanding/knowledge of contractual indemnity and additional insured risk transfer opportunities preferred.

What you will bring to C&F:

  • Bachelor's degree or equivalent and 6+ years' experience handling general liability claims, including New York Labor Law and catastrophic bodily injury claims, with some experience managing coverage-related matters filed by or against the insurer.
  • designation and/or insurance related courses are a plus.
  • Obtain and maintain required state licenses.
  • Excellent verbal and written communication skills are essential and the ability to communicate with all levels within the organization.
  • Computer skills with a working knowledge of the Microsoft Office suite of programs a must.
  • Travel occasionally required.

What C&F will bring to you

  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family's wellness, including your physical, mental and financial wellbeing
  • A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
  • A dynamic, ambitious, fun and exciting work environment
  • We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

At C&F you will BELONG #LI-AV1

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