Utica National Insurance Group

Commercial Underwriter

• Screen applications for missing information.
• Contact and work with agency to obtain and make initial evaluation of acceptability based on received information.
• Revise TAS worksheets and update as needed based on additional information obtained on the insured.
• Request and evaluate loss runs.
• Review loss activity on renewals.
• Request driver list, order and evaluate motor vehicle reports.
• Initiate cancellation notices.
• Review and screen loss control reports.
• Compare and verify findings with underwriting file information (COPE, sales, payroll, number of employees, etc.).
• Update Underwriting Checklist as needed.
• Follow up on outstanding loss control recommendations.
• Research insured’s website, social media sites and conduct a general search of internet.
• Review and issue endorsements.
• Set and follow up on diary items.
• Prepare and send conditional renewal notices.
• Identify and document marketing classifications.
• Prepare quote proposals.
• Import email, fax and reports into OnBase.
• Follow up on reinsurance certificates.
• Add SIC on Underwriting Checklist for Commercial Edge business.
• Underwrite and issue designated small new non-flow regional business.
• Underwrite and issue designated regional renewal business.
• Review new business 45 day check list to ensure file is in order – reports ordered, outstanding items addressed and diaries are set.
• Form and build relationships with agencies.

Middle Market Commercial Lines Associate Underwriter

Small Commercial Lines Associate Underwriter/Underwriter Trainee

Commercial Lines Associate Underwriter/Underwriter Trainee

• Receive, review, and grant approval/issue rejection notices for risks within granted authority.
• Thoroughly review and document risks outside of granted authority for referral to Supervising Underwriter.
• Order and analyze investigation reports on present or potential insureds, using the reports to support underwriting decisions, as appropriate.
• Receive, review, and approve/reject requests for endorsements to policies.
• Interpret available data and information to price policies within company guidelines.
• Build relationships with current agents/agencies, while cultivating potential opportunities/ submissions through proactive call-outs.
• Communicate with agents and other company personnel about insureds, potential insureds policy endorsements, and coverages.
• Keep current on agent’s/producer's loss ratio and volume, manual changes (rules, classifications, and rate changes), various restricted lists, and changes in company underwriting procedures.
• Prepare written instruction for various processing units regarding endorsements.
• Review claim files in order to determine desirability of risk and/or risk classification information.
• Revise expiring policy files in order to determine desirability for renewal.
• Achieve individual performance metrics in areas such as: Agent call-outs, Written premium, Loss Ratio, All other metrics, as assigned.
• Demonstrate advanced knowledge of forms, coverages, ratings in order to properly review policies.

Small Commercial Underwriter

Property Adjuster

• Investigate, prepare complete scope and report on personal and commercial lines property losses.
• Position requires extensive personal contact with insureds, their legal representatives and customer agents.
• Occasional contact with law enforcement officials may be required.
• Operate on an independent basis with limited supervision in handling/settling a high volume of claims within assigned authority.
• Follow estimating guidelines and adhere to field adjuster turnaround times.
• In the case of a Catastrophe event, you may deployed to the field to inspect losses for a defined period of time to facilitate progressive adjudication during the event. You would be eligible for CAT pay during this deployment.
• Provide excellent customer service to our internal and external customers.
• Performs other duties as assigned. Conforms with all corporate policies and procedures.

Property Field Adjuster

• Evaluate and analyze risks associated with new or renewal business.
• Manage a profitable portfolio in accordance with company guidelines and authority levels.
• Receive, review, and grant approval/issue rejection notices for risks within granted authority.
• Review and document risks outside of granted authority for referral to Supervising Underwriter.
• Order and analyze investigation reports on present or potential insureds.
• Receive, review, and approve/reject requests for endorsements to policies.
• Interpret available data and information to price policies within company guidelines.
• Build relationships with current agents/agencies.
• Communicate with agents and other company personnel about insureds and policy endorsements.
• Achieve individual performance metrics in areas such as agent call-outs, written premium, and loss ratio.

Representative

• Receive and set up claims assignments from the insured First Notice of Loss reports
• Review incoming loss notices and assign accordingly to claim representatives within the unit or send to the appropriate regional claim office
• Investigate first party, low severity Workers’ Compensation medical claims
• Confirm compensability & coverage
• Communicate directly with the insured’s, medical providers, agents, and vendors by telephone and in writing
• Review and approve medical treatments and associated medical bills
• Maintain strict diary on all active files
• Follow directives and instructions from Claims Supervisors and superiors
• Adhere to the WC Claims Best Practices, Workers’ Compensation statutes, bulletins, and attend company training classes
• Provide exceptional customer service
• Adhere to mandated state regulations
• Operate within a rules-based environment with a strong customer satisfaction emphasis
• Perform other tasks as assigned by management in relation to daily operations
• Monitor and update Medicare reporting

Workers' Compensation Enhanced Medical Only Representative

Business Analyst

• Build strong, trusting relationships with business customer teams to understand business needs and potential enhancements.
• Be a consultative partner making recommendations for solutions or improvements to business processes that can be accomplished through new solutions or alternative uses of existing technology/systems.
• Work with business partners to elicit requirements for efforts of moderate-high complexity ranging from corporate projects to maintenance requests utilizing various techniques such as interviewing, requirement workshops, business process reviews and workflows.
• Document business and functional requirements according to established standards.
• Decomposing high level business or user requirements into functional requirements specified at an appropriate and actionable level for technical team-mates.
• Utilize various tools for pragmatic representation of requirements where appropriate, such as process flows, diagrams, mock ups and screenshots.
• Work with functional areas such as State Filings, CSPIU, IT, Statistical Reporting, Rate Disruption etc. to determine implementation of filings and other changes and determine the impact on policy processing.
• Working with business partners and/or Information Technology, define and document ticket or project objectives for Wrike input when necessary.
• Provide a moderate level of assistance, training, and mentoring for teammates as needed, fostering an environment of team collaboration and knowledge sharing.
• Working with business partners and Information Technology, plan and manage project activities of a moderate complexity / visibility to include project level tasks, resources, timeline.
• Identify and escalate risk and constraints, plan mitigation strategy.
• Report project performance, progress and issues in a clear, concise and timely manner.
• Attend or facilitate project status meetings as needed.
• Identify assignment risks and constraints, escalating appropriately and in a timely manner with possible mitigation strategies.
• Resolve and/or escalate issues in a timely fashion to meet necessary effective/statutory due dates.
• Identify opportunities for improvement and make constructive suggestions for change following accepted change management procedures.
• Participate in the development and design of new products, and documenting system changes that are necessary as a result.
• Support ServiceNow/Help Desk related requirements items.
• Accurate input and tracking of estimations and actual work time within workflow systems (i.e. Wrike, Team Track).

Business Analyst I – II

Supervisor

• Oversee and instruct the technical staff in all phases of work performed in the handling of litigated and non-litigated Errors and Omissions and EPLI claims
• Conduct reviews and audits on claim files, approve reserves and payment in excess of technicians authority
• Participate in settlement conferences and trial reviews with the Manager and the Specialists
• Maintain records and prepare performance reviews
• Analyze and take corrective action in loss and expense control, assist in training programs and in handling claims of a complex nature
• Prepare written and verbal reports as required
• Determine proper procedure for the examining, investigating, reserving, settling or defending of E&O and EPLI claims, and organize and direct the examining force to carry out these procedures effectively and efficiently
• Develop training curriculum as needed
• Establish reserve control procedures to assure that reserves are current and reflect accurate loss and loss expenses
• Investigate and take appropriate action concerning complaints from insurance departments, agents, insureds, and claimants and their attorneys
• Set up intradepartmental work flow controls, and arrange the integration of work with other departments
• Work directly with E&O agent customers as needed in providing claim related information and data
• In addition, provide support and assistance to E&O agency customers in the preparation of loss control / risk management data and seminars
• Provide support to E&O risk management in the development of risk management / loss control tools, data, seminars, and educational material
• May perform supervisory function and assume the duties of the Director in his/her absence
• Performs other duties as assigned
• Conforms with all corporate policies and procedures

Errors & Omissions Supervisor

Data Engineer

• Leading and overseeing all data engineering functions
• Reporting directly to the Chief Data & Analytics Officer
• Owning the data delivery roadmap
• Ensuring the accuracy, consistency, and quality of all data solutions
• Providing strategic leadership in designing, building, and maintaining scalable data architectures, pipelines, and ETL workflows
• Leading and developing a high-performing team of Data Engineers
• Driving best practices in data engineering
• Ensuring successful delivery of complex data initiatives aligned with business objectives
• Collaborating effectively with Data Science, Business Intelligence and Technology teams to define success metrics and road map

Director of Data Engineering

Network Engineer

• Troubleshoots hardware and software network related problems.
• Monitors network systems and makes recommendations for improvement.
• Serves as a liaison with communication to vendors to ensure the proper operation and maintenance of equipment.
• Analyzes network components for upgrades and recommends network enhancements.
• Assists in the planning of large scale systems projects through vendor comparison and cost studies.
• Configure and maintain routers and switches for network systems.
• Provide input on direction for corporate standards for network technology implementation, including network hardware platforms, network operating systems and network security.
• Maintain appropriate configuration and change control documentation.
• Follow up on changes and periodically review service levels.
• Work with Network and Telecommunications support staff to establish and implement test procedures for all network changes.
• Develop disaster recovery scripts and travel as required for disaster recovery testing for assigned systems.

QA Engineer

• Owns the design, execution, and continuous improvement of the organization’s Medicare compliance program and serves as primary liaison to CMS and external regulators.
• Provides enterprise governance, oversight, and matrix leadership across Workers' Compensation Claims, Legal, IT, Finance, and vendor partners to ensure compliance standards are consistently executed and sustained.
• Accountable for enterprise Medicare compliance performance, including CMS audit outcomes, Section 111 reporting accuracy, and adherence to MSP and MSA requirements.
• Owns mitigation of financial and regulatory exposure, including avoidance of CMS penalties, reporting inaccuracies, and settlement compliance deficiencies.
• Serves as the primary enterprise liaison to CMS and applicable regulatory bodies, leading all audit-related interactions, inquiries, and dispute resolution.
• Defines and executes enterprise CMS audit strategy, including preparation, response, and remediation execution.
• Drives root cause analysis and ensures sustainable corrective actions are implemented and maintained.
• Establishes reporting standards, internal controls, and escalation protocols.
• Partners with Claims Leadership and Legal on complex and high-exposure Workers’ Compensation claims involving Medicare beneficiaries.
• Influences settlement strategy to ensure Medicare interests are protected while optimizing financial outcomes and minimizing exposure.
• Provides oversight and direction to QA resources, audit functions, and vendor partners supporting compliance activities.

Medicare Compliance, Workers' Compensation Quality Assurance Examiner

Customer Support

• Process new business, renewals, and endorsements and billing transactions according to established department policies and procedures
• Communicates and collaborates with internal and external stakeholders in a professional manner when additional information is needed ensuring timely processing
• Maintains detailed policy documentation and updates customer information as necessary
• Rate endorsements/transactions for multiple lines of business
• Develops and maintains positive customer relations and coordinates with various functions within the company
• Perform pre-underwriting task for policy transactions based on Company processing procedures and underwriting guidelines or complete preparatory work
• Order reports for new business, renewal and endorsements as required such as CLUE, MVR, SOCRECARD, DADS, etc
• Maintain acceptable productivity and quality levels established by management
• Perform all tasks with direction of supervisor
• Performs other duties as assigned
• Conforms with all corporate policies and procedures

Customer Service Representative I

Accounts Receivable

• Handle a variety of in office/essential accounts receivable functions within the Credit & Collections department.
• Responsible for assisting with posting cash and correcting errors within the Accounts Receivable systems.
• Receive, prepare and appropriately post all loose cash receipts determining the correct receivable to which to post the payment maintaining daily bank deposit schedule.
• Assist in processing cash receipts received with stubs through Remittance Processing Equipment and prepare bank deposits maintaining daily bank deposit schedule.
• Understand how to find data required to provide billing information by phone or correspondence for Internal and/or External Customers.
• Assist in the review and processing of Return Resolutions and Payments on daily basis and advise appropriate finance contacts when completed.
• Assist in the reconciliation of prior day’s payment transactions including all bank to bank payments, IVR Payments, credit card payments, ACH/EFT payments and paper checks from all payment channels.
• Assist in handling of agent/insured requests requiring a transfer of a misapplied payment, payment transfer request from customer, resolution of unpaid audits, review of an endorsement’s impact on the account, or resolution of reinstatement requirements.
• Perform data entry of prescreened EFT bank withdrawal requests to enable insureds to pay by automated bank withdrawals.
• Understand the review of routine Dividend Payments according to proper business procedure to identify and withhold funds for unpaid balances.
• Investigate Returned Mail and handle according to business procedure.
• Process payments into AS400 billing system.
• Process payments into OPEX machine, creating deposits for the bank.
• Assist the Director and senior technicians with daily internal control report reviews as needed.
• Performs other duties as assigned.
• Conforms with all corporate policies and procedures.

Accounts Receivable Tech – In Office

Claims Specialist

• Investigate and handle personal and commercial auto bodily injury claims of a complex and serious nature.
• Perform special claims investigations and handle matters requiring broad technical claims knowledge.
• Operate on an independent basis with little supervision.
• Settle claims within assigned authority.
• Maintain contact with attorneys concerning serious claim matters.
• Review court decisions, law and coverage interpretations.
• Broad knowledge and understanding of the law and claim practices.
• May assume duties of the Claims Supervisor in the Supervisor's absence.