What are the responsibilities and job description for the Workers Comp Claims Associate position at Classic Westchester?
JOB DESCRIPTION
- Review of industry workers compensation claims and determine compensability
- File all required workers compensation forms timely
- Oversee medical management and investigations of claims
- Calculate payroll and compensation payment based on set guidelines
- Serve as liaison and interface with Comp nurse and claimant as part of the review process
- Assign cases for investigations and review progress
- Prepare workers compensation claim for long-term disability
- Ability to evaluate the degree of disability and scheduled loss value
- Maintains professional relationship with all appropriate parties involved with the claim.
- Refers cases as appropriate to management.
- Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
- Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution
- Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim
- Communicate with company representative regarding claims management.
- Perform other duties and special assignments as necessary
Required Experience, Skills, and Qualifications
- A four-year college degree preferred.
- A minimum of 3 years of experience as workers’ compensation examiner required
- Extensive knowledge of NYS Disability and Worker’s Compensation laws
- Excellent interpersonal, organizational, and communication skills
- Working knowledge of Microsoft Word & Excel
- Must be able to work independently and collectively
- Familiarity with claim reserve
- Must possess the ability to make sound judgment
- Strict confidentiality
This is a full-time onsite 35 hours per week position. Days and hours of work are Monday through Friday 8:30AM-4:30PM