9 Sr. Work Comp Claims Adjuster for New York Claims Jobs in New York, NY
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Sr. Work Comp Claims Adjuster for New York Claims
$88k-111k (estimate)
Full Time | Specialty Trade in Construction
4 Months Ago
ELITE is Hiring a Sr. Work Comp Claims Adjuster for New York Claims Near New York, NY
Job Opening: Senior Work Comp Claims Adjuster (New York jurisdiction)Location: Offering Remote if desiredStatus: ExemptPOSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. DUTIES AND RESPONSIBILITIES:
- Adjuster will work remotely from home, if desired remote
- Effectively manages a caseload of 100 to 125 workers’ compensation files, including very complex claims.
- Jurisdiction is NY.
- Initiates and conducts investigation in a timely manner.
- Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.
- Manages medical treatment and medical billing, authorizing as appropriate.
- Refers cases to outside defense counsel. Directs and manages as appropriate.
- Communicates with claimants, providers and vendors regarding claims issues.
- Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Adjuster I and Claims Adjuster II.
- Settles and/or finalize all claims and obtains authority as designated
- Maintains diary system for case review and documents file to reflect the status and work being performed on the file.
- Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns
- Involves COMPANY loss control staff when appropriate
- Adheres to all Company policies and procedures
- Conducts file reviews independently
- Other duties as assigned.
- Technical knowledge of statutory regulations and medical terminology.
- Analytical skills.
- Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
- Ability to interact with persons at all levels in the business environment.
- Ability to independently and effectively manage very complex claims.
- Proficient in Word and Excel (preferred).
- Valid New York state adjuster license required
Job Summary
JOB TYPE
Full Time
INDUSTRY
Specialty Trade in Construction
SALARY
$88k-111k (estimate)
POST DATE
01/11/2024
EXPIRATION DATE
06/15/2024
HEADQUARTERS
LINDEN, MI
SIZE
50 - 100
FOUNDED
2018
REVENUE
$10M - $50M
INDUSTRY
Specialty Trade in Construction
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