Senior Claim Specialist – Prime Specialty

This is a fully remote position, open to applicants in New York.

📋 Description

• Evaluates and processes claims by collecting information and making informed conclusions.

• Oversees and assesses General Liability claims impacting primary and excess policies within a dynamic E&S Claim environment.

• Independently reviews information regarding coverage, liability, damages, and risk transfer to ascertain the level of exposure for the insured and all financial stakeholders.

• Manages litigation by providing exceptional claims service to clients, formulating and implementing litigation strategies, and overseeing legal budgets and lawsuits until resolution.

• Identifies where new loss claims should be filed.

• Utilizes discretion to provide the necessary information and/or correspondence to the Agent or Insurer for proper claims processing.

• Reviews claim coverage with insurance carriers to ensure accurate payment of claims.

• Evaluates the eligibility status of denied claims.

• Delivers excellent customer service and cultivates strong working relationships with insureds, brokers, and underwriters during the claims handling and adjudication process.

• Maintains the claims and suspense system, ensuring follow-up for the receipt of policies, endorsements, inspection reports, correspondence, claims, and other relevant documents from external sources.

• Processes all departmental claims promptly in accordance with company policy.

• Capable of attending mediations and trials as required.

⛳️ Requirements

• Bachelor’s degree with a focus in business or equivalent professional experience.

• Valid New York adjuster license or New York attorney license.

• A minimum of three years of experience in claims handling, with knowledge of commercial and multi-line claims.

• Ability to critically analyze a claim file for pertinent information, accurately assess the data, and make necessary recommendations.

• Capacity to make independent decisions in accordance with CRC guidelines with little to no supervision.

• Strong organizational, time management, and attention to detail skills.

• Comprehensive understanding of insurance and CRC processes.

• Ability to maintain a high degree of professionalism and tact.

• Strong leadership capabilities to positively influence all departmental employees.

• Excellent interpersonal skills.

• Proficient verbal and written communication skills.

• Strong computer and office skills.

• Willingness to work extended hours when necessary.

🏝️ Benefits

• Comprehensive medical, dental, vision, life, disability, and AD&D insurance.

• Tax-advantaged savings accounts.

• 401(k) plan with company matching contributions.

• Generous paid time-off policies, including company holidays, vacation, sick days, and new parent leave.