Senior Complex Claims Specialist NY Labor Law

Company Details

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments:
Construction, Specialty Casualty, & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

Ideal candidate will have 8-10 years or more of commercial general liability claims experience, with significant experience in complex coverage and litigated claims. Specific knowledge and expertise in New York Labor law and construction related claims are critical to this role. New York Adjuster License a plus.

Candidates must be capable of working under limited supervision and working with a remote manager. In this role, the claims professional 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 is critical for this role

Ability to travel as required

• Four (4) year College Degree, or commensurate experience and training
• JD preferred but not required
• Industry designations preferred (CRIS, AIC, SCLA, etc.)
• 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, including:
• 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

Sponsorship not Offered for this Role