Custom Liability Claims Examiner

Position Summary: To handle claims associated with GNY Custom book and other select accounts from inception to closure. To assure that there are accurate reserve and expense controls are implemented. To focus on the early and fair disposition of cases. To coordinate with defense counsel to make sure that all cases are properly prepared for a potential trial. To assist underwriting and loss control in account reviews. Interact with insured and broker as often as may be required.

Essential Duties and Responsibilities:

• Inception to closure claim handling of claims on assigned special accounts, including multi-state claim handling.
• Review and verify coverage for each claim, includes policy review and comparing to allegations made by the claimant. Issue timely coverage position letters.
• Conduct factual investigation directly or with the assistance of investigators.
• Review and analyze various documents such as contracts, leases, condo/co-op governing documents, the insured’s business records, public records, medical records, property damage scopes, etc.
• Setting proper reserves timely; making a fair and prompt settlement determination.
• Negotiate settlements.
• Follow all company and departmental protocols.
• Direct defense counsel, monitor/review discovery.
• Maintain accurate and complete file notes.
• Maintain current and meaningful diary system.
• Participates in special projects and performs additional duties as required.