Claims Examiner (Trainee)

Utica First Insurance Company voted “Best Companies to Work for in NY 2022” has been

serving the insurance needs of families and businesses for over 100 years. We have a dedicated

“team” of employees and offer continuing opportunity for personal career growth.

We are currently seeking a Claims Examiner to work in our Claims department. This is an

exciting entry level position with proven potential for growth. The Claims Examiner will work

under direct supervision and minimal authority.

The Claims Examiner will be responsible for the investigation, evaluation, establishment of

exposure, negotiation, and settlement of claims. Ensures all assigned claims are concluded

promptly, equitably, and economically within the provisions of the policy contract and in

accordance with the damages presented.

Essential Job Duties

• Receives a controlled number of new losses daily for handling.

• Reviews loss for purposes of coverage verification and potential exposure.

• Recommends and enters potential exposures to management for approval within

company guidelines.

• If coverage cannot be verified, refers to management for further instructions and

completes coverage investigation as directed.

• Promptly contacts insureds and claimants and conducts an investigation into the facts of

the loss as directed and within company guidelines for Best Practices.

• Excellent customer service in all aspects of claims handling.

• With the guidance of management, determines liability using sound judgement and

analysis of available facts.

• Answers correspondence received in conjunction with the claim in accordance with state

guidelines. Returns telephone calls within 24 hours.

• Handles all claims within the guidelines of the state to which the trainee is assigned and

in conjunction with the insurance laws and any other laws applicable to that claim.

Adhere to Fair Claim Practices Acts established within a respective state.

• Makes investigative reports promptly to the file with clear and concise file

documentation. Makes initial reports to the files as directed by management.

• Communicates effectively both orally and in writing with management and non-

management personnel as well as insureds, claimants, agents, attorneys, appraisers,

doctors and other insurance carriers and state insurance departments.

• Payments made in accordance with the laws established with the state. All payments are

to be made within the guidelines for Best Practices.

• Negotiates settlement of claims with insureds, claimants and attorneys following

established, authorized settlement authority under the guidance of management.

• Maintains a working diary as per Company guidelines for each assigned claim file which

includes timely, accurate entry of data.

• Ensures that all subrogation is quickly identified and that proper subrogation letters are

sent to responsible parties. Ensures that subrogation is entered into the claim system

immediately.

Educational and Qualification Requirements

• Bachelor’s degree required; Risk Management degree preferred.

• Strong communication skills.

• Strong customer service skills.

• Participate in courses and other selected self-study courses with an acceptable level of

competencies pertaining to the position.

• Must prepare for any state licensing exams to fulfill licensing requirement. Employee

must be in compliance with any state licenses.

Please forward your cover letter and resume’ to: claimsjobs@uticafirst.com

Utica First Insurance is an established property and casualty Insurance company located in the

Oneida County Industrial Park in Oriskany, NY. We have been in business for over 110 years.

Utica First is an A rated company (Excellent) by AMBest.