New York Licensed Claims Examiner

Job Summary

A company is looking for a Claims Examiner II, Professional Lines.

Key Responsibilities:

• Review submitted claims for coverage and determine if a matter is covered under the applicable policy
• Investigate claims and coverage issues, completing accurate and timely coverage investigations
• Draft timely coverage determination letters and manage claims presenting moderately complex coverage issues

Required Qualifications:

• High school diploma or equivalent; a 4-year bachelor's degree preferred
• Minimum of two years of relevant and progressive professional experience as a Claims Examiner
• Knowledge of principles, practices, and procedures related to claims examination
• Experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
• Ability to obtain and maintain claims adjuster's licenses or other professional designations as required