Role Description Reporting to the Claims Manager or Chief Claims Officer, and working independently and with great latitude for independent action, the Senior Claims Examiner manages an inventory consisting primarily of claims with higher loss potential and complexity, and commensurate reserving, settlement authority, reinsurance reporting requirements, as well as claims of lesser exposure or severity as dictated by the needs of the department. Investigates, evaluates and settles claims within designated authority. Occasionally assigns and directs Independent Adjusters/Appraisers and regularly assigns and directs defense attorneys. Responsibilities - Determines coverage(s) applicable to loss. - Investigates, manages and resolves claims in a timely, unbiased and informed manner in compliance with company policies, state laws and regulatory performance standards. - Sets and maintains adequate claim reserves based on facts of case and in accordance with company policy. - Conducts investigation, assigning fieldwork as necessary and appropriate, in accordance with company standards. - Determines liability. - Evaluates and pays claims within designated authority. - When requested, present coverage and claims analysis to management and make recommendations on resolution of disputed items. - Set reserves up to the positions level of authority. - Prepares and presents verbal and written claim status reports in accordance with company policy and pursuant to Reinsurance treaty requirements. - Recommends payment, evaluates and reserves claims and reports to manager cases in excess of designated authority, as well as to Reinsurers pursuant to treaty requirements. - Manages legal aspects through timely assignment of litigated cases to defense counsel, and on-going evaluation of legal process and expenses. - Maintain electronic files necessary for documentation of the claim file. - Analyzes and regularly reports to Claims Manager on the performance of defense counsel. - Represents the company at litigation related settlement conferences, mediation, and arbitration when needed. - Works closely with outside counsel to monitor claims and work with insureds to resolve underlying litigation. - Participates in both internal and external audits as needed. - Participates in weekly department meetings and Claims Committee Meetings as needed. - Promote the team approach to case and account management. - Participates in marketing presentations and training programs as needed. - Provide accurate, courteous and timely information to all external and internal customers concerning claims status and other inquiries. - Other duties as assigned. Qualifications - Requires highly technical claim management skills, and significant knowledge of and experience with more than one of the following: Employment Practices Liability, Social Service Professional, Sexual Abuse, General Liability, and/or Business Auto; or Commercial Property expertise. - Ability and willingness to obtain adjuster licenses as needed in various states. - Demonstrate a thorough knowledge of current tort law and case law trends with respect to all casualty lines of business, civil procedure, insurance policy(s) and contract(s). - Good written and oral communication skills. - Organized and possess strong follow-up skills. - Ability to analyze and apply creative solutions to claim issues. - Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details. - Strong negotiating skills, excellent telephone, written and verbal communication skills are essential. - Objectivity and pragmatism as well as strong conflict resolution skills. - Ability to manage total loss cost outcomes including ALAE to achieve superior results for our members and the company. - Aware of and follow guidelines concerning confidentiality. - Communicates with legal and medical personnel, third party claimants, policyholders, producers, Reinsurers, and senior level staff throughout the company. - Demonstrated capability for working with a high level of independence. - Ability to deliver results in a fast-paced environment. - Positive approach, can-do attitude, flexibility and ability to operate with grace under pressure. - Ability to model and uphold appropriate professional boundaries in work with member-insureds. - Collaborate with other staff members and external partners. - Interest and commitment to the mission of the organization. - Commitment to inspired service. - Communicate effectively orally and in writing. - While performing the duties of this job, the employee is regularly required to bend, reach or sit for up to 3 hours at a time. - Must have adequate vision (with corrective lenses, or other accommodative devices if needed) to clearly view computer screen. - Must have adequate hearing to perform job tasks. - PC literacy required; proficiency in Windows, Word, and Outlook preferred. - Travel required as necessary and must be able to be productive while traveling on business, including the ability to utilize laptops and other business tools as provided, subject to reasonable accommodation, if needed. - Ability to mentor peer groups or more junior claims staff, as requested. Experience - The position generally requires a minimum of ten or more years of progressively more difficult claims handling experience. Education - Four year college degree or equivalent business experience.

Role Description Responsible for the investigation, evaluation, negotiation and disposal of all assigned, insured and claimant, auto property damage claims, including suits, pursuant to Regulation 64. Essential Duties & Responsibilities - Initiate the relevant investigation required upon receipt of new losses - Obtain statements from all parties involved, either written or verbal - Make coverage and liability determinations based on appropriate investigation - Ensure proper evaluation, valuation of damages, and reserving of assigned claims - Review estimates, complete total loss valuations - Handle property damage related subrogation matters - Negotiate with insureds and claimants, or their legal representatives - Communicate with all clients to achieve optimal customer satisfaction while in compliance with Regulation 64 - Document all activities on the claims notepad - Maintain a diary on all files Other Duties - Adhere to HIC policy and procedures - Follow supervisory instruction Qualifications - Proficient in Regulation 64 and the Vehicle and Traffic Laws (VTL) - Understand liability, comparative negligence and how to apply it - Strong negotiation skills - Proficient in handling auto property damage claims - One-year experience investigating and negotiating comparative negligence auto property damage claims - Computer literacy Requirements - Must be a New York State resident

Role Description Claims Concierge Support is responsible for managing projects from beginning to end. This person will be able to handle disputes diplomatically and will be a master of communication. Day-to-day tasks include assignment/claim intake via phone, email, and job management platforms, as well as data entry during an assignment's life cycle. Members of this team interface with a wide variety of high profile insurance carrier and commercial client teams and our network of property restoration service contractors. - Answer phones, handle incoming calls, and place outgoing calls to adjusters, contractors, customers, and clients/adjusters. - Communicate effectively via phone, job notes, and email. - Receives, reviews and dispatches new jobs to contractors based on job type and location. - Monitor and manage restoration projects in our claims portal and/or third-party software. - Communicate with all involved parties regarding job status and to answer questions. - This position requires knowledge about each program’s guidelines and ensuring the providers adhere to the specific program guidelines per claim. - Ensuring all required documentation is uploaded to our system within the required Service Level Agreements. - Work closely with the Quality Assurance department on the review of estimates and supporting documentation, and provide all documents to the client/adjuster as required by the program. - Coordinate and collaborate with all internal departments. - Attendance during scheduled work hours is required. - After-hours on-call rotation duties required. Qualifications - Proven experience in task-oriented communication. - Ability to communicate effectively and pivot between different systems. - Intermediate to advanced proficiency in using computers and computer software, primarily Google Suite. - Prior logistical experience with payment processing and communication. - Excellent organizational skills, accuracy, and attention to detail. - Initiative and ability to multi-task. Requirements - Above average keystroke speed and accuracy. - High level of professionalism. - Ability to work under pressure in a fast-paced environment and maintain a positive demeanor. - Ability to work independently or in a team environment. - REQUIRED - Previous experience in customer service roles. - REQUIRED - Previous remote work experience and demonstration of high work ethic. - REQUIRED - Reliable Internet connection. - PREFERRED - Previous experience using a CRM or claim/job management software. - PREFERRED - Prior experience with Property Insurance Claims. - PREFERRED - Prior experience in property restoration or property insurance industries.

• To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims. • To coordinate case management within Company standards, industry best practices and specific client service requirements. • To manage the total claim costs while providing high levels of customer service. • Analyzes and processes complex or technically difficult medical malpractice and long term care claims by investigating and gathering information to determine the exposure on the claim. • Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. • Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. • Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. • Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. • Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. • Represents Company in depositions, mediations, and trial monitoring as needed. • Communicates claim activity and processing with the client; maintains professional client relationships. • Ensures claim files are properly documented and claims coding is correct. • Refers cases as appropriate to supervisor and management.