P&C Claims Specialist opening in Suffolk County, Long Island, New York. Provides excellent customer services skills to a diverse client base that results in more than satisfied clients. A roll up your sleeves mentality is paramount; supervise the operation of multiple external teams of examiners and technical staff for property and liability claims of clients; to monitor claim activities; to provide technical direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims; identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office; compiles reviews and analyzes management reports and takes appropriate action; performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards; acts as second level of appeal for client and claimant issues regarding claim specific, procedural, or special requests; reviews reserve amounts on all claims; manage and monitor self-insured retention accounts; monitors third party claims; maintains periodical review of litigated claims, questionable claims, and sensitive claims. Ideal candidate can manage moderate-severe in complexity commercial property and casualty losses. Investigate claims, evaluate coverage, and make claim settlement payments based on estimated damage pursuant to the policy coverage and authority. Track and manage assigned independent adjusters, experts, TPA’s and other vendors as needed.; Licenses as required; Professional certifications as applicable to line of business preferred.6+ years of claims experience or equivalent combination of education; thorough knowledge of claims management processes and procedures for multiple product lines with a concentration in complex commercial property and casualty coverages. Salary to six figures. (DC12495)
