What are the responsibilities and job description for the New York Workers' Compensation Claims Examiner | Remote position at KING'S INSURANCE STAFFING LLC?
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation Claims Specialist. This person would be responsible for evaluating and handling New York Workers’ Compensation claims. This role requires a professional with experience in New York Workers' Compensation claims, who is adept at handling caseloads with a focus on quality and efficiency. Our client is open to candidates working remotely but would like the candidate to reside in NY, NJ, or PA.
- Responsible for handling the investigation, and management of New York Workers’ Compensation claims.
- Evaluate and manage claims from initial report to final settlement.
- Handle a caseload of 80 - 100 lost time New York files.
- Negotiate settlements and authorize payments within delegated limits.
- Ensure compliance with all state regulatory requirements and internal policies.
- Communicate effectively with policyholders, medical professionals, employers, and legal counsel to gather information and resolve claims.
- Maintain accurate and timely diaries on all files on an ongoing basis.
- Document claim activities, reserve analysis, and summaries of reports in the claim system.
Requirements:
- 5 - 10 years of New York Workers' Compensation claims experience
- Must hold an active New York Adjuster's License
- Insurance Carrier or TPA experience is required
- TPA oversight experience is a plus
- Effective organizational skills and ability to work independently
- Bachelor's Degree strongly desired
Salary/Benefits:
- $95,000 to $120,000 base salary plus annual bonus
- Employer matching 401(k) plan
- Extremely competitive Medical, Dental, Vision and Life plans
- Employer Contribution to HSA
- Generous PTO
- Additional Long-Term Incentive Plans
- Flexible work schedule and ability to work from home
Salary : $95,000 - $120,000
