Field Adjuster Jobs in New York

Job Title: Workers' Compensation Claims Adjuster Company: Avizent Location: Albany, NY Description: Avizent is one of the fastest-growing national risk management providers, with satisfied clients across all industries. Our unparalleled service offering includes claims management, medical managed care, self-insured groups, alternative risk financing and RMIS software.The Worker’s Compensation Claims Adjuster will provide technical support, claim services and products for customers. Will ensure that production and quality control standards set by the company are met on a daily basis.  Responsible for monitoring the assigned claim files and ensure that service standards and quality control standards set by the company are met.  Perform all aspects of the job in an accurate and highly motivated fashion. ESSENTIAL DUTIES AND RESPONSIBILITIESo    Investigate, manage, and resolve claims of all values.  Most claims will be indemnity claims with complexity and severity issues.o    Manage and direct all aspects of insurance claims litigation.o    Determine liability and total value of the claims.o    Negotiate the settlement of claims with clients.o    Must possess a thorough understanding of all products and services.  Understand the impact/relationship these products have on the team and technological support system.  As such, must be able to provide technical expertise relative to system, legal, and compliance issues as they arise.o    Monitor regulatory compliance to ensure such requirements are met within defined parameters.  o    Have a thorough understanding of all legislative requirements and is able to effectively interpret those requirements in a prudent business manner.o    Make recommendations regarding hearings or litigation of claimso    Maintains a license for all states and products serviced.o    Organize and update all reference material to reflect current legislation and regulatory compliance.o    Comply with all quality control standards set by the company for the handling of claims. Comply with all procedures set forth by the company for performing the job as it relates to the various components of claim administrative services.o    Immediately notify Management of any unusual lawyer inquiries, insurance carrier inquiries, or department of insurance inquiries. o    Have a thorough understanding of all E & O liabilities and keep current and accurate documentation to support claims paying practices and decision-making authorities.o    Understand all facets of system automation.o    Understand the operation of a personal computer and take the appropriate steps to expand current understanding of the technology available as a means to increase personal and operational efficiencies.o    A thorough understanding of managed care products and services, and understand the impact such products have on claim administration and individual claim filing handling.  Able to effectively interface with service vendors, claimants, and providers to successfully resolve open issues and bring resolution to the claim file.o    The goal is to maintain the minimum monthly corporate standard average pending file count.o    Monitor workload closely and take appropriate measures to ensure claim files are closed within parameters set by the company.o    Utilize the technology available to effectively support their workload and eliminate manual processing of claim administration.o    Assist with the identification and correction of problems and errors.  Provide ideas and suggestions, which increase the quality of products.o    Be aware of the quality control standards set by the company and take positive steps to ensure that performance and products produced meet these standards.o    Ensure that all correspondence, regulatory filings and internal documents are free of error.o    Provide excellent telephone services to claimants, clients, contacts, and outside vendors.  On an ongoing basis, improve service knowledge and recognize the importance of providing superior customer service to our customers. o    Ensure that all inquiries are responded to in a timely manner.  Demonstrate good written and oral communication skills.o    Provide ongoing feedback to the team leader on issues and concerns impacting our customers and recommend corrective action whenever deemed appropriate.o    Calculate the full and average weekly wage and issue compensation payments according to State WC guidelines. CORE COMPETENCIES AND JOB SPECIFICATIONSo    High School Diploma or equivalent required. College degree preferred. o    A minimum of 5-7 years experience in workers’ compensation or general liability field in a claims department or related risk management position is preferred.o    Must have technical and operational knowledge of the legislation, regulation, and compliance requirements of the industry.o    Technical knowledge of medical terminology, procedures, systems and their impact on claim handling is required.o    An ability to interface with attorneys, hearing board members, state regulatory agencies, and customers is an important part of this job.o    Must also be able to interpret state and federal law in addition to contracts and policies.o    Able to maintain patience and professional demeanor working with difficult or sensitive situations and people.o    Consistent attention to detail and data resolution.o    Communicate effectively and professionally in writing, by telephone, or in person.  Communication effectiveness is demonstrated by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.o    Strong proficiency in keyboarding and data entry skills. o    Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. o    Must be able to foster and maintain positive internal and external customer service relationships. o    Must be able to be depended upon to plan and organize work effectively and ensure its completion. o    Must be able to demonstrate reliability by arriving to work on time and taking breaks in expected time frames. o    Will be expected to meet all productivity and quality requirements. o    Must be able to demonstrate team behavior and must be willing to promote a team-oriented environment. o    Must be able to demonstrate initiative, strives to continually improve processes and relationships. o    Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and office skills. o    Must be a team player willing to accept and promote organizational goals and function with minimal supervision. o    The ability to organize and manage multiple priorities.o    Must be able to type accurately, enter information into a computerized system, and operate a ten-key adding machine. Prior computer/PC experience using other word processing, spreadsheets, and computerized billing systems is required. o    Excellent customer service skills (friendly, courteous and helpful)o    Must have a strong desire for professional growth. o    Expected to represent the organization professionally at all times.o    Will exercise necessary cost control measures. o    Strong desire for growth. o    Other duties as assigned.We offer a great benefit package that includes a two-tiered medical benefit plan, dental, vision, 401k, life insurance and a great Paid Time Off plan.  To learn more about our great company and to see other opportunities visit our website at www.avizentrisk.com

Job Title: Professional Liability Claims Adjuster Company: Insurance Overload Staffing Location: New York City, NY Description: We currently have an immediate opening in New York City for a Professional Liability Claims Adjuster. Our mid-town client has an immediate need for a Professional Liabilty Claims Adjuster with a minimum of 1-3 years of insurance claims adjuster experience, in the area of handling professional liability claims. Must have strong knowledge of Employment Practices Liability (EPL) issues; Knowledge of Errors & Omissions (E&O) and /or Directors & Officers (D&O) insurance coverage issues a plus ! • Analyze insurance policies and fact patterns to identify coverage issues. • Fairly construe our insurance policies in connection with reported claims. • Ability to think analytically and logically in assessing liability and evaluating damages. • Clearly and timely communicate coverage issues and claim status to supervisors and management to develop strategies aimed at fair and efficient claim resolution and to establish case reserves. • Customer-centric focus to best serve our business partners i.e. policyholders, underwriters, defense counsel, brokers and reinsurers, etc. • Negotiate fair resolutions to claims within designated authority level. • Competently handle a “book of claims' in a timely and organized fashion including issuance of coverage letters and summary reports. • Necessary skills include: Strong time management; ability to work independently; strong listening skills and attention to detail.

Job Title: General Adjuster Job Company: Chubb Location: Uniondale, NY Description: General Adjuster Job For more than 125 years, Chubb & Son, a division of Federal Insurance Company has been delivering exceptional property and casualty insurance products and services to businesses and individuals around the world.Today, we are the 11th largest property and casualty insurer in the United States and have a worldwide network of some 120 offices in 28 countries staffed by 10,600 employees. The Chubb Corporation reported $50.6 billion in assets and $14.1 billion in revenues in 2007. According to Fortune magazine, Chubb is the 176th largest U.S.-based corporation. The magazine also includes Chubb in its list of "America's Most Admired Companies." Forbes listed Chubb as one of America's 400 Best Big Companies.Chubb has maintained its reputation and financial stability with underwriting expertise, unparalleled claim service, unique industry-specific specialization and a deep respect for all of our employees.Our award winning Property Claims Unit has an exciting career opportunity for an individual who enjoys independent problem solving and utilization of their interpersonal and collaboration skills to build relationships with insureds, claimants and producers.Chubb is currently seeking an Outside Adjuster for the Long Island territory.Position Responsibilities:The General Adjuster will have responsibility for the Long Island/Westchester region and surrounding territories. The General Adjuster will be responsible for the handling of complex/high dollar commercial and personal lines losses including claims over $500,000. Responsibilities will include: conducting an investigation on all aspects of reported claims; securing supporting documentation; completing and submitting formal reports in a timely manner; providing accurate and timely reserve information; effectively controlling the expenses of outside vendors; maintaining an active diary; recognizing and pursuing recovery where applicable; properly documenting all developments in the claim file; adhering to all statutory regulations and Unfair Claim Practice Act; effectively participating in catastrophe team assignments, auditing and/or reinspection programs; assisting in the development of other claims examiners; recognizing potential fraudulent claims; and effectively communicating with internal and external customers.Knowledge, Skills and Abilities:Candidate should possess a minimum of 5 years of complex property claim adjusting experience and have a knowledge and understanding of personal and commercial insurance contracts, investigative techniques, legal requirements and regulations.The incumbent should be comfortable working with a wide spectrum of people, and be adept at developing and maintaining strong business relationships with internal and external customers.The ability to use Lotus Notes, Microsoft Word, Microsoft Excel and estimating software is important.Strong knowledge of engineering, mathematical and accounting knowledge is key along with knowledge of current construction methods and costs with an ability to write estimates and complete a dwelling and/or commercial building valuation.Excellent written and verbal communication skills are required along with strong customer service orientation, strong analytical, negotiation and organizational skills.Education and Experience:College degree and/or related experience;Minimum of 5 years of property claim adjusting experienceChubb prides itself on the ability to provide all employees with an extraordinary work environment which promotes teamwork, diversity and incentives for those who exceed expectations. Chubb has been recognized as one of the top 50 companies for diversity by DiversityInc magazine, one of America's most admired companies by Forbes, and one of the top 100 companies to work for by Fortune.Chubb's compensation and benefit plans work together to create a Total Rewards Program for our employees that is among the best in our industry. As a global organization, we work hard to achieve our goal of providing flexible and competitive compensation and benefits packages in each local market in which we operate. Our goal is to exceed average market practices for our performers. For more information about Chubb and our benefits, visit our website at www.chubb.com.All interested applicants must apply online Reference Requisition number 7462.7462CurrentPage=2