Senior Casualty Examiner (Hybrid)
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Job Location:
Otsego County, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Department:
Job Summary
We are seeking a Senior Casualty Examiner with a minimum of five years of Casualty Examiner or Adjuster experience who is eager to contribute and grow with us. The Senior Casualty Examiner manages first and third-party claims where potential exposure to bodily injury and property damage claims have been identified the most significant potential exposure to customers and company either by venues liability limit or coverage complexity claim related issues.
Duties & Responsibilities:
- Interpret coverages policy terms and conditions for broad insurance areas and products.
- Manage pre-suit and in-suit out of state claims.
- Investigate coverage liability and damages.
- Oversee aggregate reserves over one hundred million dollars.
- Assess manage and monitor appropriate reserves.
- Review and interpret medical records legal documents and all other documents associated with a casualty claim.
- Analyze strengths and weakness of a casualty claim.
- Negotiate fair and equitable resolutions.
- Participate and contribute to daily casualty team committee reviews.
- Collaborate with house and panel counsel members.
- Collaborate with team to identify and ensure timely reporting of potential bad faith matters claims that may fall under the purview of errors and omissions and those that may need to be reported to reinsurance.
- Testify in litigation cases against NYCM to substantiate the reasoning behind conclusions made by them and/or direct reports.
- Identify possible fraud and refer cases to SIU for collaboration.
- Communicate and document clearly concisely and consistently in all casualty files and databases.
- Adjust reserves.
- Continue education claim knowledge and claim concepts through interactions with supervisor counsel white papers articles books and seminars pertinent to claim handling processes and techniques.
- Share knowledge in collaboration with casualty team.
- Other duties as assigned.
Requirements:
- High School Diploma
- 5 years of Casualty Examiner or Casualty Adjuster experience
Skills & Qualifications:
- Full working knowledge and understanding of basic insurance principals claims procedures and applicable laws and regulations
- Keen knowledge of negligence proximate cause causality and impact on reserving and resolution of claims.
- Strong understanding of anatomy structures and functions of the human body to analyze the relevant medical reports to complete an injury assessment.
- Understand the importance of the claim experience to customers and the fiduciary responsibility NYCM has to the customer on every claim.
- Proficient personal computer skills including electronic mail record keeping routine database activity Microsoft Word PowerPoint and Excel.
- Skilled in giving testimony.
- Excellent and effective oral and written communication skills.
- Effective time management skills.
- Detail oriented.
- Strong decision-making skills.
- Strong negotiation skills.
- Ability to work both independently and within a team with minimal direct supervision.
- Organized; Ability to multi-task and prioritize.
- Ability to handle stress professionally calmly and effectively.
- Positive and professional attitude with ability to influence and support change.
Market Range 10 / Exempt / 40 Hours / Hybrid
Salary: $61900 $113500
Accepting applications through: 9/23/25
Required Experience:
Senior IC
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
About Company
New York Central Mutual Fire Insurance, or NYCM to its friends and policyholders, sells property/casualty insurance in upstate New York. With offices in Amsterdam, Buffalo, Edmeston, and Sherburne, the company specializes in personal auto coverage but also offers homeowners and umbrel ... View more
