2 insurance professional jobs found in Sherburne, NY

The No Fault Examiner is responsible for the prompt and fair settlement of no-fault claims. The No Fault Examiner will 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 with empathy and professionalism. Duties & Responsibilities: Verify policy coverage: Basic PIP, APIP, OBEL and Med Pay. Determine eligibility, exclusions, Workers Compensation coverage, out of state coverage and all subrogation recovery opportunities. Accurately reserve claims for potential exposure based on injuries sustained. Identify fraud indicator and discuss with EFW and refer applicable files to SIU. Conduct a thorough investigation of claims, gathering all necessary information for proper claims resolution. Process payments and denials in accordance with...

The Auto Physical Damage Examiner manages the auto claim process, including customer experience, coverage verification, investigation, evaluation, and disposition of the claim in compliance with applicable insurance regulations and NYCM’s best practices. They Assess customer needs and develop solutions to meet and/or exceed the customer’s expectations throughout the claim process. Duties & Responsibilities:  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...