Examiner

• Evaluate first and third-party property claims to determine coverage and damages
• Manage the claim process, including coverage verification, investigation, evaluation and disposition of the claim
• Assess and ensure the customer’s needs and expectations of the claim process are met
• Compile reports for management review
• Issue settlement payments within the scope of coverage and authority
• Effectively communicate and establish connections with the customers during the claim process
• Professional handling of incoming and outgoing customer phone calls
• Guide customers, including claimants, through the claim process
• Manage customer concerns/complaints and develop and execute a plan to remedy the situation
• Review each claim to determine coverage
• Investigate each claim to determine the cause, loss exposure and set appropriate reserves
• Identify the need for outside experts and vendors
• Manage a working diary of assigned claims in a timely fashion to conclusion
• Manage cycle times and experience through file review and timely disposition
• Present decisions to customers, including claimants, clearly outlining coverage, damages and claim disposition
• Identify Fraud Indicators and submit referrals as needed
• Identify subrogation opportunities and manage subrogation files
• Desk adjust property claims and negotiate with professionalism
• Work on special projects and perform other duties as assigned by supervisor
• Travel as needed for claims and agency visits

Property Examiner evaluating insurance claims for damages and coverage compliance

Property Examiner – Inhouse, Hybrid

Property Examiner evaluating first and third-party property claims for damages and coverage compliance. Managing the claims process, ensuring customer needs are met according to best practices.

• Conduct on-site and/or in-office reviews to ensure compliance
• Prepare workpapers or spreadsheets to document work
• Contact taxpayers to request records of information or to explain process and requirements
• Respond to taxpayer requests for information and explanations
• Document relevant facts, information, results, and recommendation through reports and databases
• Discuss findings with Revenue professionals to resolve issues or make recommendations

Examiner conducting taxpayer documentation reviews for compliance

Discovery Examiner

Examiner with the Nebraska Department of Revenue conducting compliance reviews of taxpayer documentation. Balancing education and tax administration responsibilities for taxpayers' obligations.

• Manage claims involving all types of auto physical damage, including total loss, repairable, glass, towing/roadside assistance, and rental
• Manage cycle times and experience through thorough file review and timely disposition
• Establish scope of coverage, determine loss exposure, and set appropriate reserves
• Conduct thorough file investigations, gathering all necessary information needed to bring the claim to a resolution
• Issue settlement payments within the scope of coverage and authority
• Evaluate and establish liability against the NYCM policyholder in accordance with state negligence laws
• Negotiate with customers on partial settlements
• Identify opportunities for subrogation and refer files for recovery
• Evaluate double insured files for negligence and transfer financial responsibility to the appropriate policyholder
• Evaluate, negotiate, and settle incoming subrogation claims
• Identify fraud indicators, submit appropriate SIU referrals, and direct any necessary investigation
• Work with assigned vendors to ensure they are meeting our expectations on each claim
• Testify in court hearings on behalf of NYCM and our customers
• Serve as a panelist with Arbitration Forums, hearing cases and rendering decisions on intercompany disputes for other carriers
• Effectively communicate and establish connections with the customers during the claim process
• Professional handling of incoming and outgoing customer phone calls
• Professional written communications such as emails, texts, requests for information or coverage letters
• Guide customers through the claim process, ensuring that they are informed at all stages
• Manage customer concerns/complaints, developing solutions to remedy the experience and meet the customer’s needs
• Other duties as assigned

Auto Physical Damage Examiner managing auto claims for clients

Auto Physical Damage Examiner

Auto Physical Damage Examiner managing auto claims process including investigation and disposition. Ensuring compliance with insurance regulations and providing excellent customer experience.

Examiner jobs in New York

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Property Examiner – Inhouse, Hybrid

Discovery Examiner

Auto Physical Damage Examiner