What are the responsibilities and job description for the Workers' Compensation Claims Representative position at Emerge Talent Cloud?
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!
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
- 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
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Salary : $120,000 - $160,000
