Job description

Utica First Insurance Company voted "Best Companies to Work for in NY 2023" is recruiting a Claims Examiner.

This is an entry level position with excellent opportunity for growth within the department. The Claims Examiner will work under direct supervision and minimal authority.

Responsible for the investigation, evaluation, establishment of exposure, negotiation and settlement of claims. Ensures all assigned claims are concluded promptly, equitably and economically within the provisions of the policy contract and in accordance with the damages presented.

Essential Job Duties

• Receives a controlled number of new losses daily for handling.
• Reviews loss for purposes of coverage verification and potential exposure.
• Recommends and enters potential exposures to management for approval within company guidelines.
• If coverage cannot be verified, refers to management for further instructions and completes coverage investigation as directed.
• Promptly contacts insureds and claimants and conducts an investigation into the facts of the loss as directed and within company guidelines for Best Practices.
• Excellent customer service in all aspects of claims handling.
• With the guidance of management, determines liability using sound judgement and analysis of available facts.
• Answers correspondence received in conjunction with the claim in accordance with state guidelines. Returns telephone calls within 24 hours.
• Handles all claims within the guidelines of the state to which the trainee is assigned and in conjunction with the insurance laws and any other laws applicable to that claim. Adhere to Fair Claim Practices Acts established within a respective state.
• Makes investigative reports promptly to the file with clear and concise file documentation. Makes initial reports to the files as directed by management.
• Communicates effectively both orally and in writing with management and non-management personnel as well as insureds, claimants, agents, attorneys, appraisers, doctors and other insurance carriers and state insurance departments.
• Payments made in accordance with the laws established with the state. All payments are to be made within the guidelines for Best Practices.
• Negotiates settlement of claims with insureds, claimants and attorneys following established, authorized settlement authority under the guidance of management.
• Maintains a working diary as per Company guidelines for each assigned claim file which includes timely, accurate entry of data.
• Ensures that all subrogation is quickly identified and that proper subrogation letters are sent to responsible parties. Ensures that subrogation is entered into the claim system immediately.

Educational and Qualification Requirements

• Bachelor’s degree required, Risk Management degree required.
• Strong communication skills.
• Strong customer service skills.
• Participate in courses and other selected self-study courses with an acceptable level of competencies pertaining to the position.
• Must prepare for any state licensing exams to fulfill licensing requirement. Employee must be in compliance with any state licenses.

Utica First offers a competitive salary and benefits package to include:

• Medical (1st of the following month of hire)
• Dental
• Vision
• 401k after 90 days of employment
• Flexible Spending Accounts/Health Savings Accounts
• Generous Vacation/Sick/Personal Time Off
• Generous Paid Holidays
• Company Paid Basic Life Insurance
• Company Paid LTD
• Referral Program

Utica First Insurance is an established property and casualty Insurance company located in the Oneida County Industrial Park in Oriskany, NY. We have been in business for over 110 years. Utica First is an A rated company (Excellent) by AMBest.

Job Type: Full-time

Pay: $45,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance

Physical setting:

• Office

Schedule:

• Monday to Friday

Application Question(s):

• Risk Management degree required.

Education:

• Bachelor's (Required)

Work Location: One location

jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.