Position Summary:

Investigates, evaluates, disposes and settles the most complex Workers Compensation Lost Time claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.

Essential Duties & Responsibilities:

• Exercises proper judgment and decision making to analyze the Workers Compensation claims exposure, to determine the proper course of action and to appropriately settle the claim.
• Interacts extensively with various parties involved in the Lost Time claim process.
• Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.
• Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
• Processes claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements.
• Demonstrated ability to comply with carrier reporting and threshold requirements.
• Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full case load, with proven ability to handle cases of increased severity

Additional Considerations:

Required:

• High school diploma
• 3 or more years New York, New Jersey and Pennsylvania Workers Compensation Lost Time claims experience required
• Appropriately licensed and/or certified in all states in which claims are being handled - requires active New York Workers Compensation Adjusters License
• Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software

Desired:

• Bachelor's Degree
• NY, NJ and PA jurisdictional experience with Workers Compensation Lost Time claims
• Applicable NY licensure

Work Traits:

• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
• Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

U.S. Eligibility Requirements:

• Interested candidates must submit an application and resume/CV online to be considered
• Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract?
• Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation
• Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, we hire U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Proof of work authorization required.
• Must be willing to execute Employee Agreement or Confidentiality/Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• New York Workers Compensation Lost Time claims: 3 years (Preferred)
• New Jersey Workers Compensation Lost Time claims: 3 years (Preferred)
• Pennsylvania Workers Compensation Lost Time claims: 3 years (Preferred)

License/Certification:

• New York Workers Compensation Adjusters License (Preferred)

Work Location: Remote

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