What are the responsibilities and job description for the Worker’s Compensation Claims Examiner position at FutureRecruit?
Worker’s Compensation Claims Examiner - Full-time
Location: Spring Valley, NY
Required Qualifications:
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Bachelor's degree.
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Professional designation such as CPCU, ARM, CRM, or similar.
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Proficient in Microsoft Office and adaptable to learn other software applications.
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Excellent oral and written communication skills.
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Detail-oriented with a high accuracy rate.
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Strong critical thinking and organizational skills.
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Ability to problem-solve and use good judgment.
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Self-motivated with excellent time management skills.
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5 years adjusting workers' compensation claims in multiple jurisdictions.
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Experience in NY, NJ, and PA preferred, with NY experience required.
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Healthcare industry experience.
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Construction industry experience.
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5-7 years experience as a Workers Comp loss time claim adjuster.
Job Description
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Investigate and manage workers' compensation claims in multiple jurisdictions.
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Coordinate with nurse case managers, counsel, external vendors, and insureds for efficient claims handling.
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Complete and document initial loss investigations to determine compensability.
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Establish initial and subsequent reserves for anticipated exposure.
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Review medical bills for a causal relationship to reported claims.
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Liaison with insureds, nurse case managers, and counsel to oversee claim management and facilitate return to work.
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Develop and maintain action plans to ensure reserve adequacy and timely resolution of claims.
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Negotiate settlement of claims within designated authority.
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Prepare and present claim review summaries for insureds, brokers, and internal contacts as requested.
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Participate in discussions with insureds and counsel on strategies for successful claim closure.
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Provide guidance and assistance to insureds and brokers on timely reporting of claims.
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Manage insured onboarding, including training on claims reporting and use of the insured portal.
Benefits:
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Great work-life balance
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Market leader in commercial insurance and risk management
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Offer a wide range of career paths and opportunities for growth
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Competitive Compensation and Benefits: health insurance, retirement plans, and other benefits
