7 jobs found in Edmeston, NY

EFW Examiners review claims for red flag indicators that will determine if further investigation and referral to special investigation unit (SIU) is needed. They also collaborate with examiners, supervisors and EFW examiners to reach mutual decisions on the disposition of claims that have been investigated. Duties & Responsibilities: Collaborate with the examiner teams to identify claims in need of further investigation. Work with examiners, customers, vendors, and other resources to gather information to establish facts of loss and if potential fraud indicators exist. Conduct objective, fair, thorough, and timely investigations, and reviews. Ensure processing of the claims are handled in accordance with regulation time frame. Submit claims to SIU through the database for assist or referral when fraud indicators are present. Return to examiner for normal claim processing when all red flag indicators have been ruled out. Generate detailed denials based on...

A Business Analyst works with divisions and project teams to elicit, understand and communicate divisional user stories and business requirements.  The role is responsible for creating new documentation and updating existing documentation in order to facilitate the specific details required to achieve a project goal. Duties & Responsibilities: Analyze and understand business requirements with divisional stakeholders. Experience testing and mapping various business processes and protocols. Reviews the business and process impact and risks involved. Monitor regulatory impacts. Validate and assess requirements, processes, and business logic is implemented as requested. Identify and communicate with key stakeholders. Liaison between various departments and    Strategize ideas to improve business processes, services, products, and software. Provide suggestions to stakeholders based on analysis. Collaborate with Project Managers and cross-functional teams....

The Physical Damage Business Unit Manager provides tactical leadership to the development teams of the Physical Damage and Subrogation of the Auto Claim division. The incumbent is responsible for the daily operations of the business unit and assists the Division Manager in defining the Strategic direction of claim settlement within the culture of NYCM Insurance. The Physical Damage Business Unit Manager must demonstrate expert knowledge of the positions within the Division and is ultimately responsible for the decisions made by the Supervisors and any other direct reports within the Division.  Ensures compliance with best practice and regulatory standards through regular review and coaching; provides evaluation guidance; works with division partners (supervisory teams and division management) to fulfill performance objectives and reporting; develops and executes assigned action plans. Duties & Responsibilities: Assists the Division Manager in carrying out the...

The Property Examiner (Inhouse) evaluates first and third-party property claims to determine coverage and damages based upon sound claim knowledge. They manage the claim process, including coverage verification, investigation, evaluation and disposition of the claim in compliance with applicable insurance regulations and NYCM’s best practices. They assess and ensure the customer’s needs and expectations of the claim process are met. Duties & Responsibilities: 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. Professional written communications such as emails, requests for information or coverage letters. Guide customers, including claimants, through the claim process, ensuring that they are informed at all stages. Manage customer...

The Technical (Underwriting) (Hybrid) will conduct daily business operations within the underwriting division. Duties & Responsibilities: Process transactional queues and technical queues, Process DMV IIES tasks including support on phones and incoming paper and emails. Handle all functions of property inspections including reviewing crystal reports, documenting PACE, and emailing hand-typed inspections. Write program requests with management support. Collaborate with various divisions while implementing and auditing program requests. Assist with project support. Conduct presentations on new programs moving into production, reviewing audit and implementation plans. Conduct team cross training. Perform quarterly review of agent lobby specific to all forms for all lines of business. Quarterly review of statistical data submission to ISO/AAIS. Conduct monthly bill verification. Maintain user accounts for vendor management. Provide audit support for...

NYCM Insurance provides challenging and rewarding internship opportunities that contribute to business operations and long-term success. This opportunity will help you gain real-world experiences and become familiar with a variety of regular positions that may become available at NYCM Insurance. Applications for internships are welcome for all divisions. We offer internship opportunities in the following areas of the company: Claims: Our Claims professionals work with customers to build relationships after they have experienced an Auto, Property or Commercial loss. Our Claims division is broken up into three segments: Auto, Property & Commercial, Casualty and the Special Investigations Unit. Customer Relations: Customer Relations is committed to building trust between the company and the customer by enhancing the NYCM customer experience. Customer Relations is made up of three separate teams: Customer Service, Customer Experience and Brand Management. Employee...

NYCM Insurance is the largest regional personal lines insurance company in New York State. We are located in the rolling hills of Central New York's Leatherstocking Region in the town of Edmeston. NYCM has been serving New York State residents with insurance coverage for over 100 years. We offer homeowners, automobile and small commercial insurance to over 490,000 policyholders. With over 800 employees, NYCM is the second largest employer in Otsego County. The home office is located in Edmeston, while branch offices are in Sherburne, Canajoharie, and Buffalo.