Complex Claims Specialist (New York Labor Law)
Complex Claims Specialist (New York Labor Law)
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Salary Not Disclosed
1 Vacancy
Job Description
Company Details
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments: Construction Specialty Casualty Velocity Smal Business & Professional Liability.
We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.
Responsibilities
Ideal Complex Claims Specialistwill have 8 or more years of commercial general liability claims experience with significant experience in complex coverage and litigated claims. Specific knowledge and expertise in New York Labor law and construction related claims are critical to this role. New York Adjuster License a plus.
Candidates must be capable of working under limited supervision and working with a remote this role the claims professional investigates evaluates negotiates and resolves litigated and non-litigated bodily injury property damage personal and advertising injury and claims of high exposure and complexity.
- Analyze coverage identify coverage issues and prepare coverage letters for supervisor approval
- Focus on specialized claims in construction defect
- Investigate and evaluate liability
- Investigate and evaluate damages
- Manage litigation by assigning counsel from the approved panel where applicable establish litigation plan and budget coordinate with defense counsel and continuously review the potential for resolution.
- Establish timely reserves within authority and re-evaluate throughout the life of the claim
- Maintain up-to-date appropriate file documentation and written file notes
- Maintain an active diary and productive file inventory
- Timely completion of all required large loss reporting
- Negotiate settlements within authority limit granted and attend mediations Mandatory Settlement Conferences and/or Alternative Dispute Resolutions
- Proactively control the work product and expense of outside vendors
- Develop and maintain positive customer relationships and provide superior customer service
- Timely identify all potential opportunities for co-insurance transfer of risk and/or subrogation
- Ability to Work with designated assigned accounts
- Recognize and investigate fraud
- Comply with deductible/self-insured retention recovery protocol
- Meet all State licensing requirements
- Adhere to all statutory regulations Unfair Claims Practices acts and corporate Best Practices
- Demonstrated success in handling cases that involve New York Labor law is critical for this role
Qualifications
Education Requirement
- Four (4) year College Degree or commensurate experience and training
- JD preferred but not required
- Industry designations preferred (CRIS AIC SCLA etc.)
- Possess and maintain required adjuster licensing in various states
Qualifications
- Eight (8) or more years claims handling experience or equivalent experience.
- In-depth knowledge of the insurance industry including legal and regulatory environments.
- A strong functional and developing knowledge of substantive laws and legal procedures.
- Attributes and superior command of the skills necessary for handling complex primary excess and surplus lines claims for various lines of business including:
- Effective problem solving (identifying issues and effective solutions)
- Sound decision making
- Commitment and dedication to job responsibilities
- Ability to adapt to changing job requirements
- Willingness to accept constructive criticism
- Focus under stress
- Accuracy
- Strong organizational ability
- Clear concise and complete verbal and written communication
- Proactive consideration of customer needs and concerns
- Positive attitude
- Interest and willingness to learn
- Acting with integrity
- Robust negotiation skills
- Ability to travel as required
Additional Company Details
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes:
Health Dental Vision Life Disability Wellness Paid Time Off 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
This role is eligible to participate in the annual discretionary bonus program.
Sponsorship Details
Required Experience:
IC
Employment Type
Unclear
