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Senior Claims Examiner - Complex GL, NY Labor Law, Bodily Injury, Remote

Roles & Responsibilities

  • Bachelor’s degree or equivalent with 6+ years of experience handling general liability claims, including New York Labor Law and catastrophic bodily injury claims, with some experience managing coverage-related matters filed by or against the insurer
  • Obtain and maintain required state licenses
  • Excellent verbal and written communication skills and ability to communicate with all levels within the organization
  • Computer skills with a working knowledge of the Microsoft Office suite; travel occasionally required

Requirements:

  • Manage assigned claims, verify coverage applicability, determine investigation approach, and maintain timely diary for each case to ensure adequacy and timeliness of investigation, evaluation, and reserve
  • Evaluate and adjust claims within the adjuster’s authority; report on technical matters to supervisor; manage litigated claims, determine future course of handling, and consult with the claim manager when assistance or exceeding authority is needed
  • Develop and pursue recovery opportunities; assess recovery potential and assemble information required to pursue recovery
  • Ensure equitable, prompt adjustment and disposition of assigned claims in accordance with Best Practices, and provide superior customer service to all agents, insureds, and others encountered during handling

Job description

Crum & Forster Company Overview:

Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

 

Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.

 

C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit our website: www.cfins.com.

Job Description:

Seneca is looking for a senior claims specialist who enjoys being a key part of a dynamic team.  As a Senior Claims Examiner, you will manage an assigned pending of claims arising from insurance policies, primarily Commercial General Liability with mid-to-high level of risk and complexity.  You will also be expected to operate under appropriate levels of supervision and within established authority.  The position will report to assigned Manager, AVP or Vice President, as determined by business needs.

 

This position can be in one of our offices in New York, NY, Jersey City, NJ, Morristown, NJ, or Alpharetta, GA, with flexible work options available. Remote locations will also be considered for the right candidate.

 

What you will do for C&F:

  • Receives claims assignments. Verifies and determines applicability of coverage.
  • Determines the method and extent of investigation for each claim as required by company Best Practices.
  • Reviews and manages outstanding files, as assigned, for adequacy and timeliness of investigation, evaluation and reserve and maintains a timely diary for each case.
  • Evaluates and adjusts claims within the adjuster’s authority level.
  • Reports directly on technical matters to supervisor or management.
  • Evaluates and manages litigated claims, determines future course of handling and proper method of disposition. Consults with the claim manager on those claims in which assistance and consultation is needed, as well as on those claims which exceed assigned authority.
  • Assesses recovery potential and is responsible for the development of information required to successfully pursue recovery.
  • Meets with current and prospective customers to discuss Seneca claims capabilities and address specific claim needs.
  • Accountable for the equitable and prompt adjustment and management of assigned claims to disposition in accordance with company Best Practices.
  • Responsible for providing superior customer service to all agents, insureds, and others encountered during the claims handling process.
  • Understanding/knowledge of contractual indemnity and additional insured risk transfer opportunities preferred.

 

What you will bring to C&F:

  • Bachelor’s degree or equivalent and 6+ years’ experience handling general liability claims, including New York Labor Law and catastrophic bodily injury claims, with some experience managing coverage-related matters filed by or against the insurer.
  • designation and/or insurance related courses are a plus.
  • Obtain and maintain required state licenses.
  • Excellent verbal and written communication skills are essential and the ability to communicate with all levels within the organization.
  • Computer skills with a working knowledge of the Microsoft Office suite of programs a must.
  • Travel occasionally required.
What C&F will bring to you:
  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
  • A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
  • A dynamic, ambitious, fun and exciting work environment
  • We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

 

 

At C&F you will BELONG

 

If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know

 

 For California Residents Only:  Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/  for more information.

 

Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws.  Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $67,900.00 to a maximum of $127,600.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.

 

#LI-AV1

 

 

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