Job Title: Claim Examiner
Department: Claims
FLSA Status: Exempt
Position Reports to: Claim Supervisor
Summary:
The Commercial Claim Supervisor oversees a team of claims professionals responsible for managing and resolving commercial insurance claims, with a specialized focus on educational institutions. This leadership role ensures operational excellence, regulatory compliance, and high-quality service delivery across all phases of the claims lifecycle. The Supervisor provides technical guidance, monitors performance metrics, and fosters a collaborative, accountable team culture.
This position requires strong leadership, advanced claims expertise, and the ability to navigate complex stakeholder relationships, particularly within academic environments.
Essential Functions and Responsibilities:
- Complex Claim Investigation & Evaluation
- Independently confirm coverage and conduct in-depth investigations of high-exposure liability claims.
- Analyze multi-party liability scenarios and assess legal and financial exposure.
- Collaborate with internal and external legal counsel, technical experts, and consultants.
- Strategic Claim Management
- Manage a caseload of complex and litigated claims with minimal supervision.
- Utilize advanced claim systems and analytics to monitor trends and identify emerging risks.
- Ensure timely and accurate documentation and compliance with internal and external standards.
- Stakeholder Communication & Litigation Support
- Serve as the primary contact for high-profile or sensitive liability claims involving educational institutions.
- Communicate effectively with insureds, attorneys, agents, and internal leadership.
- Participate in mediations, depositions, and settlement conferences as needed.
- Coverage & Damage Assessment
- Interpret complex policy language, exclusions, and endorsements to determine coverage applicability.
- Oversee damage assessments and liability evaluations using internal tools and external resources.
- Provide strategic recommendations for claim resolution and risk mitigation.
- Reserving, Negotiation & Settlement
- Establish and maintain accurate reserves for complex liability claims.
- Lead negotiations for settlements, balancing legal exposure, fairness, and cost-effectiveness.
- Ensure all claim activities are documented in accordance with regulatory and audit standards.
Knowledge, Skills, and Abilities:
- Juris Doctorate (JD) strongly preferred; advanced certifications (e.g., AIC, CPCU) a plus.
- Minimum 5 years of experience in commercial liability claims, including litigation management.
- Experience working with public school entities or educational institutions is highly desirable.
- Deep understanding of tort law, insurance coverage, and state-specific regulations.
- Exceptional written and verbal communication skills.
- Strong analytical, negotiation, and decision-making abilities.
- Proficiency in Microsoft Office Suite and claim administration software.
- Ability to work independently and manage a high-complexity desk.
- Occasional travel required for field inspections, mediations, or client meetings.
Hours: Full-time, EST
Compensation: $97,000 – $150,000
Location: Cortland, NY / Long Island, NY or Remote within New York state