Workers' Compensation Claims Representative

About Us We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are rated A “Superior” by AM Best, the leading independent insurance rating organization, and backed by one of the strongest financial organizations in the world. Benefits : We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You’ll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in New York.  Determines compensability and / or coverage issues for workers’ compensation loss time claims Negotiates and completes settlements under management’s review Gathers medical and factual evidence Coordinates and directs the activities of outside investigation Manages outside counsel and litigation within given authority Communicates daily with claimants, and / or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents Completes timely and efficient claims handling responsibilities Qualifications 5 years of NY loss time workers compensation experience including litigated claims is required Experience with NY Employer’s Liability claims is an added bonus Flexibility and positive attitude a must Ability to learn claims handling procedures in multiple states as needed Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills Shows positive attitude toward company and claims department Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment Innovative thinker with the ability to multi-task Excellent verbal and written communication skills Bachelor’s degree or an equivalent combination of education and experience preferred Active NY adjuster license a plus Powered by JazzHR