Apply on Employer Site

American National · 3 months ago

Senior New York Labor Law Technical Claims Specialist

US NY - New York City

Full-time

Onsite

Senior Level

$162K/yr - $223K/yr

7+ years exp

American National is a US-based specialty P&C company focused on wealth protection and retirement services. They are seeking a Senior New York Labor Law Technical Claims Specialist to adjudicate claims related to New York Labor Law, ensuring thorough investigations and effective management of claims processes.

Auto InsuranceFinancial ServicesHealth CareHealth InsuranceInsuranceLife Insurance

No H1B

Responsibilities

Working under limited oversight under broad management direction, adjudicate New York Labor Law claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results

Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined

Reporting to senior management and underwriters on claims trends and developments

Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage

Investigating claims promptly and thoroughly, including interviewing all involved parties

Managing claims in litigation

Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution

Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process

Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution

Preparing reports for file documentation

Applying creative solutions which result in the best financial outcome

Negotiating settlements

Processing mail and prioritizing workload

Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.)

Having an appreciation and passion for strong claim management

Qualification

New York Labor LawClaims negotiationClaims reserving techniquesBachelor's degreeLicensed Claims ExaminerIntellectual curiosityMS Office SuiteProfessional developmentCommunicationTime managementProblem-solvingClient focusTeam collaboration

Required

Seven years' experience adjudicating commercial general liability claims with a focus on New York Labor Law

Bachelor's degree from an accredited university required

Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable)

Ability to regularly exercise discretion and independent judgment with respect to matters of significance

A strong focus on execution in getting things done right

Must have excellent communication skills and the ability to build lasting relationships

Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking

Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly

Excellent evaluation and strategic skills required

Strong claim negotiation skills a must

Knows how claims reserving techniques are used and how to assess whether a claim reserve is accurate

Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information

Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines

Demonstrates innovative thinking and regularly shares ideas to help the team whenever possible

Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking

Client focus – the ability to effectively determine specific client needs and to provide value added solutions

Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO

Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis

Proficient in MS Office Suite and other business-related software

Polished and professional written and verbal communication skills in order to present information accurately and effectively

The ability to read and write English fluently is required

Must demonstrate a desire for continued professional development through continuing education and self-development opportunities

Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims within 120 Days

Preferred

Juris Doctor from an accredited law school is strongly preferred

Two or more insurance designations or four additional years of related experience adjudicating environmental claims beyond the minimum experience required above may be substituted in lieu of a degree