What are the responsibilities and job description for the Workers Comp Claim Examiner position at JOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY?
Title: Claims Associate ‘B’
Grade: 8, OPEIU L.153
Rate of Pay: $70,314.40 (weekly $1,248.76, plus $103.44 FICA reimbursement)
FLSA Status: Non-Exempt
Employer: Joint Industry Board of the Electrical Industry
Department: EESISP
Reports to: EESISP Supervisors
Location: Fresh Meadows, NY 11365
Vacancy: 1
JOB DESCRIPTION
Reporting to the Supervisor, under close supervision, the Claims Associate ‘B’ Grade 8 will perform various duties including but not limited to:
- Review of electrical industry workers compensation claims and determine compensability
- File all required workers compensation forms timely
- Oversee medical management and investigations of claims
- Calculate payroll and compensation payment based on set guidelines
- Serve as liaison and interface with Magna Comp nurse and claimant as part of the review process
- Assign cases for investigations and review progress
- Prepare workers compensation claim for long-term disability
- Ability to evaluate the degree of disability and scheduled loss value
- Maintains professional relationship with all appropriate parties involved with the claim.
- Refers cases as appropriate to management.
- Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
- Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution
- Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim
- Communicate with Local 3 Business representative regarding claims management.
- Perform other duties and special assignments as necessary
Work Environment
We thrive to provide a supportive and collaborative environment. We are employee- focused emphasizing mutual respect a strong sense of community and a positive team culture. We offer a healthy work -life balances and a desirable work environment with a diverse workforce.
This job operates in a professional office -- customer service environment. This role routinely uses standard office equipment such as desktop computers, phone, scanner, printer, keyboard, photocopiers, shredder, and fax.
Physical Demands
Sedentary work environment with physical demands described are representative of those that must be met by an employee to successfully perform the functions of this job. This would require the ability to lift files, pull files/forms/books, stand, bending, shred documents, open/close filing cabinets as necessary.
Position Type/Expected Hours of Work
This is a full-time onsite 35 hours per week– Non-Exempt (OPEIU Local 153) position. Days and hours of work are Monday through Friday 8:30AM-4:30PM.
Flexibility: Must be able to work overtime when necessary.
Travel
No travel is expected for this position.
Salary : $70,314
