Job description
Join NorthLine Insurance Group, a premier insurer delivering exceptional risk management and client-focused service. We are seeking a proactive Insurance Claims Specialist to join our NYC team. You will guide claims from intake to resolution, collaborating with adjusters, underwriters, and policyholders to ensure fair, expedient outcomes.
What you’ll do:
- Process, investigate, and adjudicate property and casualty claims in a timely, compliant manner.
- Communicate with policyholders to gather information, set expectations, and provide updates.
- Collaborate with medical providers, appraisers, and third-party vendors as needed.
- Evaluate coverage, determine liability, and issue claim decisions with clear documentation.
- Identify potential subrogation opportunities and coordinate recovery efforts.
- Maintain accurate claim files and adhere to internal controls and regulatory requirements.
- Leverage data analytics to detect trends, improve processes, and reduce cycle times.
We offer a competitive compensation package, comprehensive benefits, and opportunities for career growth in a fast-paced, supportive environment.
Responsibility
- Receive and triage new claims, ensuring complete information and proper assignment.
- Conduct timely investigations, including contact with claimants and witnesses.
- Assess coverage and lien implications, and communicate determinations to stakeholders.
- Collaborate with adjusters, attorneys, and vendors to advance claims toward resolution.
- Document all activities in the claims system with accuracy and compliance.
- Identify subrogation and recovery opportunities where applicable.
- Analyze data to identify process improvements and contribute to policy changes.
- Provide exceptional customer service while maintaining professional standards.
Qualification
- Bachelor’s degree in Business, Finance, or related field (or equivalent experience).
- 2+ years of claims handling experience in property & casualty or health insurance.
- Strong understanding of insurance contracts, coverage analysis, and regulatory requirements.
- Excellent communication, negotiation, and analytical skills.
- Proficiency with claims management systems and MS Excel.
- Detail-oriented with strong organizational and time-management abilities.
- Ability to work independently and as part of a team in a fast-paced environment.
- Customer-focused mindset with a commitment to ethical practices.