Claims Specialist I - No Fault (Hybrid; New Hartford, Ny)

The Company

At Utica National Insurance Group, over 1,300 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.

While we had humble beginnings in 1914, today the Utica National Insurance Group is an “A” rated $1.4B award-winning, nationally recognized organization providing personal and commercial property & casualty insurance products and services.

Our Mission is to continually meet the needs of our policyholders, agent/customers and employees resulting in sustainable profitable growth in an increasingly competitive marketplace.

We are proud to sell our products through more than 2,200 independent insurance agents around the country as we have been since 1928. These agents provide their clients with valuable insight and resources. And, as the second-largest insurer of Agents’ Errors and Omissions (E&O) business in the United States, we insure many of the agents who work with our policyholders.

Our purpose is to make people feel secure, appreciated, and respected. These Values define the character of our employees. They personify Utica National – describing what it means to “be Utica National” and how we approach doing business. Together, with our agents, we are committed to providing our mutual policyholders with valuable services and products to help them feel secure.

This is a hybrid role reporting to New Hartford, NY with a minimum of 3 days/month spent in-office after the initial 2-week onsite training and onboarding period.

Essential Functions:

• Adjust first and third party Property and Casualty No Fault claims.
• Communicate directly with insureds, claimants, witnesses, attorneys, medical providers and others, by telephone and through written correspondence. Correspond with Home Office and other field adjusters. Document investigation in Utica’s claim system.
• Conduct timely investigations, interview individuals, obtain police reports, wage statements, medical reports and bills, and other information pertinent to the investigation.
• Review and analyze insurance policies and endorsements on less complicated matters to determine if coverage is afforded.
• Evaluate exposure and set and adjust monetary incurreds to reflect most likely outcome within requisite authority level.
• Review injury and treatment information, evaluate all documentation and prepare claim for Independent Medical Exams and/or peers.
• Maintain claim file diaries that promote timely investigation and file resolution.
• Identify and pursue all subrogation opportunities and involve SIU in any claim where fraud is suspected.
• Review, study and adhere to Utica’s claim handling practices, policy coverages, procedures, civil and motor vehicle laws, bulletins, court decisions and attend company sponsored training.
• Comply with all applicable state Insurance Department regulations.
• Obtain and/or maintain state license(s) or certification(s) as needed.
• Consult with supervisor on claims involving questionable liability, coverage issues. Adhere to directives and instruction from supervisor and superiors.

Education: Two or four year degree or equivalent experience preferred.

Experience: 1-3 years Insurance claims experience preferred.

Licenses: Required to obtain licenses in states as required to handle files.

Salary Range: $43,000-$55,000

The final salary to be paid and position within the internal salary range is reflective of the employee’s work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.

Benefits:

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

• Medical and Prescription Drug Benefit
• Dental Benefit
• Vision Benefit
• Life Insurance and Disability Benefits
• 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
• Health Savings Account (HSA)
• Flexible Spending Accounts
• Tuition Assistance, Training, and Professional Designations
• Company-Paid Family Leave
• Adoption/Surrogacy Assistance Benefit
• Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
• Student Loan Refinancing Services
• Care.com Membership with Back-up Care, Senior Solutions
• Business Travel Accident Insurance
• Matching Gifts program
• Paid Volunteer Day
• Employee Referral Award Program
• Wellness programs

Additional Information:

This position is a full time hourly, non-exempt (overtime eligible) position.

Utica National is an Equal Opportunity Employer.

Apply now and find out what it’s like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.

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