Casualty Claims Adjuster

Allegany Co-op Insurance Company is the emblem of stability, security, and integrity and has been serving the Property & Casualty insurance needs of our policyholders since 1887.  The Company has proudly received an “A” rating from A.M. Best for more than 25 years.

The Casualty Claims Adjuster is responsible for processing, investigating and adjusting claims in accordance with applicable regulations established by the states in which Allegany Insurance Group conducts business, and any and all procedures adopted by the Company in accordance with various policy provisions. The Casualty Claims Adjuster is familiar with and interprets policy coverages, investigates and negotiates settlements and manages litigation when necessary.

Responsibilities and Duties:

• Review all claims assigned and determine if coverage for stated damage exists within the policy.  Determine appropriate approach necessary to investigate the casualty claim.
• Initiate contact with insured, inform them of the claims process and obtain any additional information necessary to proceed with processing the casualty claim.  Prepare and send requests for appropriate records.  Record data in individual casualty claim files.
• If necessary, arrange site inspection, obtain photos, conduct any interviews necessary of insured, witnesses and attorneys. When necessary, conduct internet searches, obtain information and analyze same.  Maintain an appropriate and timely dialogue with individuals involved in the casualty claim.
• Secure experts when necessary (Forensic Engineers, Independent Adjusters, Physicians, etc.) and monitor file for reports obtained. Prepare and forward materials as required.
• Conduct file reviews with the Claims Manager, Attorneys, Underwriters and other Management as necessary.
• Provide Underwriting with risk reports when appropriate.
• Submit necessary information to ISO.
• Provide support to other co-workers as needed.
• Attend scheduled appointments that may require travel. Attend educational programs and company sponsored events.  Participate in special projects and/or assignments designated by the Claims Manager or Management.
• Perform other duties as assigned or required.

Qualifications:

• High school diploma required. Associates or Bachelor’s degree strongly preferred.
• Minimum of five years casualty claims experience.
• Must possess current knowledge of medical and legal terminology as well as an awareness of legal procedures.
• Insurance designation such as INS, AIS, CPCU either completed or in process preferred.
• Ability to work independently with minimal supervision.
• Strong written and verbal communication skills, including negotiation.
• Must be able to interact with multiple personality types.
• Possess high level of reading comprehension skills.
• Must be organized, detail oriented and able to meet deadlines.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Employment:

• Location: Cuba, New York / Remote (NY/PA only)
• Some travel required
• Job Status:  Full Time, Exempt
• Work Schedule:  Mon-Fri, 8:00 am-4:00 pm
• Salary: BOE

Allegany Co-op Insurance Company is an Equal Opportunity Employer.