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NYC School Construction Authority (SCA) · 20 hours ago

Claims Manager, Insurance & Risk Management

Queens, NY

Full-time

Onsite

Senior Level

$91K/yr - $155K/yr

5+ years exp

The NYC School Construction Authority (SCA) is responsible for managing the construction of schools in New York City. The Claims Manager for Insurance & Risk Management oversees the entire claim life cycle for various types of claims and supports the organization's goals of safety and risk mitigation.

Construction

No H1B

Responsibilities

Timely coverage analysis and communication with the Senior Manager, Insurance & Risk Management, COO, and other members of the Insurance & Risk Management team based on application of policy information, facts or allegations of each incident or claim

Investigates each claim through prompt contact with appropriate parties such as SCA staff, contractors, claimants, witnesses, brokers, TPA, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Verifies claims are properly coded

Takes necessary statements. Identifies resources for specific activities required to properly investigate claims such as subrogation, loss control, medical consultants, and surveillance, fire or fraud investigators and other experts

Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation

Recognizes claims based on severity protocols for timely referral to and discussion with the Senior Manager, Insurance & Risk Management, and COO

Keeps effective diary management system and maintains claims files to ensure that all claims are handled timely and efficiently

Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options

At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity, expense, and settlement reserves

Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority

Negotiates disposition of claims with the Senior Manager, Insurance & Risk Management, COO, broker, carrier, and TPA as well as claimants or their representatives

Recognizes and implements alternate means of resolution

Supports the development and maintenance of claims handling instructions to set adjuster expectations, ensure consistency, control, and compliance

Consults with the Senior Manager, Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel

Supports the development of litigation plans with staff or panel counsel, track and control legal expenses

May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed

Serves as a technical resource, attends legal proceedings as needed, acts within established professional guidelines as well as applicable state laws

Leverages the Risk Management Information System (RMIS) to track incidents, analyze trends, and drive data-informed decisions for claims and risk mitigation

Ensures correct data coding and supports the creation of dashboards, analytics, and reporting

Coordinates with internal stakeholders to maximize Risk Management efforts

Collaborates with the Office of Inspector General by identifying and reporting potential fraud, providing supporting documentation, facilitating investigations, and ensuring adherence to oversight requirements

Partners with the Safety and Construction Management Units to implement process enhancements, resolve contractor claims, and strengthen workplace safety practices

Works with Labor Law Compliance Unit to identify contractor payroll irregularities

Coordinates and delivers training to staff and stakeholders on procurement policies, procedures, and SCA practices

Qualification

Claims ManagementRisk ManagementData AnalyticsCPCU CertificationWorkers CompensationConstruction Industry KnowledgeMicrosoft OfficeNegotiation SkillsCommunication SkillsInterpersonal Skills

Required

Bachelor of Arts degree in Insurance, Risk Management, Finance, Business Administration or similar program

A minimum of five years' experience in insurance or risk management with emphasis on complex construction claims

An equivalent combination of education, training and/or experience

Proven written and verbal communication abilities with emphasis on problem solving and negotiation

Proficiency with computer applications, including Microsoft Office suite and insurance-based RMIS systems

Ability to read and understand contracts and insurance documents

Demonstrated interpersonal skills and ability to work with staff at all levels, both internal and external

Preferred

CPCU, ARM, CRIS, or similar insurance designation desired

Familiarity with the Northeast construction industry, New York State (NYS) construction and labor laws and regulations, NYS and NYC collective bargaining agreements and the SCA

Labor law and/or Workers Compensation background

Company

NYC School Construction Authority (SCA)

The NYC School Construction Authority’s (SCA, NYCSCA) mission is to design and construct safe, attractive and environmentally sound public schools for children throughout the many communities of New York City.

Founded in 1988

Ny Tolstrup, Sjelland, DNK

501-1000 employees