USI Insurance

Role can be worked remotely. Ideally within New York State but will consider candidates throughout the New England region ONLY. Some travel to client sites required a couple times per month. 

NYS Department of Finance Services- Casualty General Adjuster License required. 

Responsibilities:

• Senior level claim handler in a two-person department. Some oversight and coaching of Claims Specialist.
• (TPA) claims handling unit responsible for supervising, processing, paying and resolving Liability claims according to established policies and procedures and applicable legal and regulatory guidelines.
• Coordinate with state director in providing direction, setting goals, evaluating results and ensuring that overall goals are attained.  Develops, assigns and monitors plans to ensure completion of goals and objectives and meeting deadlines. 
• Ensures adherence to policies, procedures, standards and guidelines. Coordinates compliance with overall division guidelines as well as regulatory agencies.
• Schedule ongoing claims activities, including receiving client claims, research and information gathering, clients and others as needed, payment determination and ongoing claims administration. Reviews claims files to ensure appropriateness of payments to clients, policy compliance and timeliness of work. Determines staff diary dates and reviews notes for active lost time claims. Ensures proper implementation of established policies and procedures.
• Visits clients regularly and maintains strong business relationships to exchange information and contribute to ongoing renewal of business. Communicates regularly with production and customer service areas to exchange account status.
• Assists staff with complex aspects of work as necessary. Resolves escalated issues and problems by conferring with staff, management, other internal departments, outside contacts and clients as necessary. Performs claims and other activities personally as workload requires.
• Manages scheduling and assignment of work and other activities to ensure that key deliverables meet established guidelines. Assesses internal and external customer needs and manages activities to ensure services are delivered in the most efficient way possible.
• Reviews and evaluates activities on a regular basis, ensuring that established policies and procedures are being followed. Provides management with regular updates on performance; takes corrective action as necessary.
• Maintains knowledge of current developments in the TPA claims industry, including regulatory issues and guidelines; alerts staff to developments and develops recommendations for consideration with division management in reviewing policies and procedures. Shares information with staff as appropriate.
• Participates in civic activities to promote growth and development of the community and a positive image for the Company.
• Participates in special projects and performs additional duties as required.
• Contributes to a positive, ethical and respectful working environment and communicates openly with others. Models Company culture both internally and externally.

Knowledge, Skills and Abilities:

• 4-year degree or the equivalent combination of education and work experience required.
• 10-15 years of Liability claims experience required. Auto and General Liability. 
• Strong knowledge of Liability claims management.
• Municipal General Lines experience in NY is a plus. 
• In-depth knowledge of legal and regulatory requirements.
• Ability to evaluate data and formulate claims strategy.
• Negotiation skills to resolve large claims at minimum cost.
• Ability to coordinate diverse individuals to resolve claims.
• Highly organized, with ability to manage work involving large client volume.
• Strong understanding of claims management technology applications.
• Excellent communication skills, both verbal and written.
• Continuing education required to maintain licensing.
• Ability to do sales presentations.
• Superior written and oral communication skills.
• Ability to work well in a team environment.
• Must have strong analytical thinking and problem-solving skills.
• Strong organizational skills required.
• Strong negotiation skills required.
• Minimal travel is required.