RiverStone · 1 month ago
Claims Examiner; Asbestos, Pollution, Other Health Hazards
Rockville Centre, NY, US
Full-time
Onsite
Mid Level
3+ years expRiverStone is a company that specializes in claims handling, and they are seeking a Claims Examiner to manage asbestos, pollution, and other health hazard claims. The role involves evaluating claims, establishing reserves, managing litigation, and ensuring compliance with company procedures.
Financial ServicesInsurance
Responsibilities
Ensures proper file setup, reserving, general handling, and application of company procedure
Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and excess policies
Assists in the assignment to and control of work of defense counsel, assignment of expert witnesses and interfacing with peer carriers, including design and execution of defense and indemnity contracts, evaluation of liability and damages, and participation in settlement negotiations
Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control
Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention
Handles moderate to high volume of diverse and dynamic asbestos, pollution, or other latent liability claims effectively
Anticipates and identifies risks and opportunities on coverage and liability
Assists Unit Managers with departmental problem solving
Serves on Companywide committees and projects as assigned
Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records
Develops creative ideas and solutions to real-time business problems and/or business opportunities; takes reasonable, calculated risks even if failure is possible
Empowers self and teammates to continuously improve RiverStone’s business processes/systems; develops and escalates solutions
Consistently delivers superior customer service to both internal and external business partners
Performs special projects and assignments related to area of authority as necessary
Maintains confidentiality
Establishes and maintains professional relationships
Assists in due diligence inquiries as assigned
Travels as required
Obtains and maintains claims adjuster licenses in those states requiring them
Qualification
Required
Minimum 3-5 years of experience in claims handling or a related field
Four-year college degree required or equivalent work experience
Demonstrates ability and flexibility in a dynamic environment
Excellent analytical, interpersonal and communications skills, both written and oral
Capable of working independently and meeting assigned deadlines
Customer service oriented and able to develop lasting relationships with internal and external business partners
Demonstrates alignment with RiverStone's Commitments
Prioritizes and organizes work in self-directed manner
Attains and maintains knowledge of assigned department
Performs other duties as required, including supporting and coordinating with other department colleagues
Preferred
JD, CPCU, SCLA, CCLA
Company
RiverStone
We Deliver RiskSmart Run-Off(R) Solutions With Global Reach Aligning risk with the need for capital efficiency and greater business focus is a key challenge for insurers and reinsurers.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Debbie Irving
Executive Vice President & Chief Financial Officer
Bob Sampson
Executive Vice President, Chief Claims Officer at The RiverStone Group
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