No-Fault Examiner

NYCM Insurance

No-Fault Examiner settling and managing no-fault claims for NYCM insurance. Investigating coverage, evaluating injuries, processing payments, and guiding customers through resolution.

Posted 8/19/2026full-timeEdmeston, Sherburne • New York • 🇺🇸 United StatesMid-LevelSenior💰 $44,885 - $69,821 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing no-fault claims processes, including coverage verification, investigation, and compliance with insurance regulations. Proficient in customer communication and resolution management while maintaining accurate claim records and understanding of insurance best practices.

Highest-signal resume keywords

Claims ManagementInsurance RegulationsFraud DetectionCustomer CommunicationDecision-Making

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProceduresCoverage VerificationInvestigation TechniquesLoss-of-Earnings AssessmentMedical Examination CriteriaClaims SystemsMitchell DecisionPointRecord KeepingPayment ProcessingSubrogation Recovery

Soft Skills

Interpersonal SkillsOrganizational SkillsCritical ThinkingActive ListeningStress Management

Industry Keywords

No-Fault ClaimsWorkers CompensationFraud TrendsInsurance Best PracticesClaim Disposition

Tech Stack

Tools & technologies

Unity

About the role

Key responsibilities & impact

Promptly and fairly settle no-fault claims
Manage claim processes, including coverage verification, investigation, evaluation, and claim disposition in compliance with insurance regulations and NYCM best practices
Verify policy coverage, eligibility, exclusions, Workers Compensation coverage, out-of-state coverage, and subrogation recovery opportunities
Reserve claims accurately based on potential exposure and injuries sustained
Identify fraud indicators, discuss them with EFW, and refer applicable files to SIU
Conduct thorough claim investigations and gather information for resolution
Process payments and denials according to investigations, policy coverage, and regulations
Manage cycle times and customer experience through file review and timely processing
Determine loss-of-earnings reimbursement claims
Assess the need for independent medical examinations using IME criteria and claim analysis
Testify in court
Communicate professionally with customers by phone and in writing
Guide claimants through all stages of the claim process
Manage customer concerns and complaints and execute resolution plans
Manage daily workload and maintain current claim files
Maintain accurate payment worksheets and claim information
Maintain knowledge of insurance best practices, regulations, standards, guidance documents, and internal procedures
Participate in insurance-related education regarding fraud trends
Perform additional duties as assigned

Requirements

What you’ll need

High school diploma or equivalent, with related experience demonstrating the knowledge, skills, and abilities necessary to perform the essential functions
Full working knowledge and understanding of basic insurance principles and policies, claims procedures, regulations, and best practices
Good personal computer skills, including electronic mail, record keeping, claims systems, and Mitchell DecisionPoint
Understanding of medical injuries and how they relate to claim file management
Strong interpersonal skills and ability to work within a team or independently without direct supervision
Willingness and ability to engage in authentic conversations
Good written and verbal communication skills and active listening
Organized, detail oriented, and able to multitask and prioritize
Strong evaluation and decision-making abilities
Ability to handle stress professionally, calmly, and effectively
Critical thinking
Positive and professional attitude
Willingness to pursue professional development

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account NYCM Insurance Website LinkedIn All Job Openings 501 - 1000 employees Founded 1899 🛡️ Insurance 💸 Finance Insurance
Finance NYCM Insurance is an insurance company that provides property and casualty coverage for individuals and businesses. Public-facing web access returned a redirect message, so limited information is available, but the company appears to operate as an insurer offering policies such as auto, home, and commercial insurance within the U. S. No-Fault Examiner 🔥 1 minute ago 🏢🏡 Sherburne – Hybrid 💵 $44.9k - $69.8k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Examiner 👻 Ghost score 0% Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Promptly and fairly settle no-fault claims
Manage claim processes, including coverage verification, investigation, evaluation, and claim disposition in compliance with insurance regulations and NYCM best practices
Verify policy coverage, eligibility, exclusions, Workers Compensation coverage, out-of-state coverage, and subrogation recovery opportunities
Reserve claims accurately based on potential exposure and injuries sustained
Identify fraud indicators, discuss them with EFW, and refer applicable files to SIU
Conduct thorough claim investigations and gather information for resolution
Process payments and denials according to investigations, policy coverage, and regulations
Manage cycle times and customer experience through file review and timely processing
Determine loss-of-earnings reimbursement claims
Assess the need for independent medical examinations using IME criteria and claim analysis
Testify in court
Communicate professionally with customers by phone and in writing
Guide claimants through all stages of the claim process
Manage customer concerns and complaints and execute resolution plans
Manage daily workload and maintain current claim files
Maintain accurate payment worksheets and claim information
Maintain knowledge of insurance best practices, regulations, standards, guidance documents, and internal procedures
Participate in insurance-related education regarding fraud trends
Perform additional duties as assigned 🎯 Requirements
High school diploma or equivalent, with related experience demonstrating the knowledge, skills, and abilities necessary to perform the essential functions
Full working knowledge and understanding of basic insurance principles and policies, claims procedures, regulations, and best practices
Good personal computer skills, including electronic mail, record keeping, claims systems, and Mitchell DecisionPoint
Understanding of medical injuries and how they relate to claim file management
Strong interpersonal skills and ability to work within a team or independently without direct supervision
Willingness and ability to engage in authentic conversations
Good written and verbal communication skills and active listening
Organized, detail oriented, and able to multitask and prioritize
Strong evaluation and decision-making abilities
Ability to handle stress professionally, calmly, and effectively
Critical thinking
Positive and professional attitude
Willingness to pursue professional development Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass Resume Review AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs