Top 2 Claims examiner Jobs in Edmeston Ny

Property Examiner (Inhouse) (Hybrid)
NYCM Insurance —Edmeston, NY
- $49,082 - $68,714 a year
- Microsoft Excel
- Mid-level
- Office
13d
Social Welfare Examiner
Otsego County —Cooperstown, NY
- $39,226 - $46,236 a year
- Full-time
- Mid-level
- High school diploma or GED
- Fingerprint clearance
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Property Examiner (Inhouse) (Hybrid)

NYCM Insurance -
Edmeston, NY

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Job Details

$49,082 - $68,714 a year
13 days ago

Qualifications

High school diploma or GED

Full Job Description

The Property Examiner (Inhouse) evaluates first and third-party property claims to determine coverage and damages based upon sound claim knowledge. They manage the claim process, including coverage verification, investigation, evaluation and disposition of the claim in compliance with applicable insurance regulations and NYCM’s best practices. They assess and ensure the customer’s needs and expectations of the claim process are met.

Duties & Responsibilities:

Compile reports for management review.
Issue settlement payments within the scope of coverage and authority.
Effectively communicate and establish connections with the customers during the claim process.
Professional handling of incoming and outgoing customer phone calls.
Professional written communications such as emails, requests for information or coverage letters.
Guide customers, including claimants, through the claim process, ensuring that they are informed at all stages.
Manage customer concerns/complaints and independently develop and execute a plan to remedy the situation for a better customer experience.
Review each claim to determine coverage.
Investigate each claim to determine the cause, loss exposure and set appropriate reserves.
Identify the need for outside experts and venders.
Effectively manage a working diary of assigned claims in a timely fashion to conclusion.
Manage cycle times and experience through file review and timely disposition.
Present decisions to customers, including claimants, clearly outlining coverage, damages and claim disposition.
Identify Fraud Indicators and submit referrals to the EFW and SIU as needed.
Identify subrogation opportunities and manage subrogation files within authority and/or refer files for recovery to subrogation.
Desk adjust property claims and negotiate with professionalism, enthusiasm, and articulation.
Work on special projects and perform other duties as assigned by supervisor.
Travel as needed for claims and agency visits.

Requirements:

High school diploma

Qualifications & Skills:

Proficient personal computer skills including electronic mail, record keeping, routine database activity, Microsoft Word, PowerPoint and Excel
Excellent and effective oral and written communication skills
Effective time management skills
Detail oriented
Strong decision-making skills
Strong negotiation skills
Ability to work both independently and within a team with minimal direct supervision
Organized; Ability to multi-task and prioritize
Ability to handle stress professionally, calmly and effectively
Positive and professional attitude

Market Range 7 / 37.5 hours per week / Hybrid - 2 days in office

Salary: $49,082-$68,714

Accepting applications through: 8/3/26

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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claims examiner jobs in edmeston ny

Property Examiner (Inhouse) (Hybrid)

Social Welfare Examiner

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