Complex Claims Specialist (New York Labor Law)

Complex Claims Specialist

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in four market segments : Construction, Specialty Casualty, Velocity Small Business & Professional Liability.

We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

Responsibilities

The ideal Complex Claims Specialist will have 8 or more years 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

Qualifications

Education Requirement

Qualifications

Additional Company Details

We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes : Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. This role is eligible to participate in the annual discretionary bonus program.

Sponsorship Details

Sponsorship not Offered for this Role