Acadia Insurance (a Berkley Company) · 16 hours ago
Senior Complex Claims Specialist NY Labor Law
US-GA-Atlanta
Full-time
Onsite
Senior Level, Lead/Staff
8+ years expAcadia Insurance, a Berkley Company, is seeking a Senior Complex Claims Specialist with expertise in New York Labor Law. The role involves investigating, evaluating, negotiating, and resolving complex claims, particularly in construction-related cases, while ensuring compliance with statutory regulations and corporate best practices.
Commercial InsuranceInsurance
No H1B
Responsibilities
Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
Focus on specialized claims in construction defect
Investigate and evaluate liability
Investigate and evaluate damages
Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution
Establish timely reserves within authority and re-evaluate throughout the life of the claim
Maintain up-to-date, appropriate file documentation and written file notes
Maintain an active diary and productive file inventory
Timely completion of all required large loss reporting
Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions
Proactively control the work product and expense of outside vendors
Develop and maintain positive customer relationships and provide superior customer service
Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
Ability to Work with designated assigned accounts
Recognize and investigate fraud
Comply with deductible/self-insured retention recovery protocol
Meet all State licensing requirements
Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices
Demonstrated success in handling cases that involve New York Labor law is critical for this role
Qualification
Required
8-10 years or more of commercial general liability claims experience
Significant experience in complex coverage and litigated claims
Specific knowledge and expertise in New York Labor law and construction related claims
New York Adjuster License a plus
Capable of working under limited supervision and working with a remote manager
Investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and claims of high exposure and complexity
Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
Focus on specialized claims in construction defect
Investigate and evaluate liability
Investigate and evaluate damages
Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution
Establish timely reserves within authority and re-evaluate throughout the life of the claim
Maintain up-to-date, appropriate file documentation and written file notes
Maintain an active diary and productive file inventory
Timely completion of all required large loss reporting
Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions
Proactively control the work product and expense of outside vendors
Develop and maintain positive customer relationships and provide superior customer service
Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
Ability to Work with designated assigned accounts
Recognize and investigate fraud
Comply with deductible/self-insured retention recovery protocol
Meet all State licensing requirements
Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices
Demonstrated success in handling cases that involve New York Labor law
Four (4) year College Degree, or commensurate experience and training
Possess and maintain required adjuster licensing in various states
Eight (8) or more years claims handling experience or equivalent experience
In-depth knowledge of the insurance industry, including legal and regulatory environments
A strong functional and developing knowledge of substantive laws and legal procedures
Attributes and superior command of the skills necessary for handling complex primary, excess and surplus lines claims for various lines of business
Effective problem solving (identifying issues and effective solutions)
Sound decision making
Commitment and dedication to job responsibilities
Ability to adapt to changing job requirements
Willingness to accept constructive criticism
Focus under stress
Accuracy
Strong organizational ability
Clear, concise, and complete verbal and written communication
Proactive consideration of customer needs and concerns
Positive attitude
Interest and willingness to learn
Acting with integrity
Robust negotiation skills
Ability to travel as required
Preferred
JD preferred but not required
Industry designations preferred (CRIS, AIC, SCLA, etc.)
Company
Acadia Insurance (a Berkley Company)
Acadia Insurance specializes in commercial property casualty insurance. Our company began in 1992 insuring businesses in Maine.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Simone Grimes, CPA, MBA
Chief Financial Officer
Steve Rich, CPCU
Senior Vice President & Chief Claims Officer
Recent News
2024-03-06
Coverager - Insurance news and insights
2022-06-28
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