Worker s Compensation Claims Examiner ESF9205

ExpertHiring
Spring Valley, USA
Full-time

Top Reasons to Work with ourclient

  • Great worklifebalance!
  • Market leader in commercial insuranceand risk management!
  • Offer a wide range ofcareer paths and opportunities for growth!
  • Competitive Compensation and Benefits : health insuranceretirement plans and other benefits!

Job Type : Full Time

Location : Spring Valley NewYork

Pay : Competitive Pay & Benefits!

Job Description

What you will be doing :

  • Investigate and manage workers compensation claims inmultiple jurisdictions.
  • Coordinate with nursecase managers counsel external vendors and insureds for efficientclaims handling.
  • Complete and document initialloss investigations to determine compensability.
  • Establish initial and subsequent reserves for anticipatedexposure.
  • Review medical bills for causalrelationship to reported claims.
  • Liaison withinsureds nurse case managers and counsel to oversee claimmanagement and facilitate return to work.
  • Develop and maintain action plans to ensure reserveadequacy and timely resolution of claims.
  • Negotiate settlement of claims within designatedauthority.
  • Prepare and present claim reviewsummaries for insureds brokers and internal contacts asrequested.
  • Participate in discussions withinsureds and counsel on strategies for successful claimclosure.
  • Provide guidance and assistance toinsureds and brokers on timely reporting of claims.
  • Manage insured onboarding including training on claimsreporting and use of the insured portal.

Experience you will need :

  • Bachelors degree preferred.
  • Professional designation such as CPCU ARM CRM or similarpreferred.
  • Proficient in Microsoft Office andadaptable to learn other software applications.
  • Excellent oral and written communicationskills.
  • Detail oriented with a high accuracyrate.
  • Strong critical thinking andorganizational skills.
  • Ability to problemsolveand use good judgment.
  • Selfmotivated withexcellent time management skills.
  • 5 yearsadjusting workers compensation claims in multiplejurisdictions.
  • Experience in NY NJ and PApreferred with NY experience required.
  • Healthcare industry experience preferred.
  • Construction industry experience preferred.
  • 57 years experience as a Workers Comp loss time claimadjuster.

Our client asked me to submit 3 great people within thenext few days. We work directly with the hiring manager and canarrange interviews within a few days

INDEH123

24 days ago
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