Market leader in commercial insurance and risk management!
Offer a wide range of career paths and opportunities for growth!
Competitive Compensation and Benefits: health insurance retirement plans and other benefits!
Job Type : Full Time
Location : Spring Valley New York
Pay : Competitive Pay & Benefits!
Job Description
What you will be doing:
Investigate and manage workers compensation claims in multiple jurisdictions.
Coordinate with nurse case managers counsel external vendors and insureds for efficient claims handling.
Complete and document initial loss investigations to determine compensability.
Establish initial and subsequent reserves for anticipated exposure.
Review medical bills for causal relationship to reported claims.
Liaison with insureds nurse case managers and counsel to oversee claim management and facilitate return to work.
Develop and maintain action plans to ensure reserve adequacy and timely resolution of claims.
Negotiate settlement of claims within designated authority.
Prepare and present claim review summaries for insureds brokers and internal contacts as requested.
Participate in discussions with insureds and counsel on strategies for successful claim closure.
Provide guidance and assistance to insureds and brokers on timely reporting of claims.
Manage insured onboarding including training on claims reporting and use of the insured portal.
Experience you will need:
Bachelors degree preferred.
Professional designation such as CPCU ARM CRM or similar preferred.
Proficient in Microsoft Office and adaptable to learn other software applications.
Excellent oral and written communication skills.
Detail oriented with a high accuracy rate.
Strong critical thinking and organizational skills.
Ability to problemsolve and use good judgment.
Selfmotivated with excellent time management skills.
5 years adjusting workers compensation claims in multiple jurisdictions.
Experience in NY NJ and PA preferred with NY experience required.
Healthcare industry experience preferred.
Construction industry experience preferred.
57 years experience as a Workers Comp loss time claim adjuster.
Our client asked me to submit 3 great people within the next few days. We work directly with the hiring manager and can arrange interviews within a few days
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