What are the responsibilities and job description for the Claims Specialist II - Workers' Compensation (hybrid) position at Utica Mutual Insurance Company?
The Company
At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.
Utica National Insurance Group is an "A" rated $1.5B award-winning, nationally recognized property & casualty insurance carrier.
Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including Boston, NYC, Atlanta, Dallas, Columbus, Richmond, and Chicago.
This is a hybrid position with a minimum of 8 days/month spent in-office.
What you will do
You'll be responsible for investigating, evaluating, negotiating, and resolving workers' compensation claims in primarily New York jurisdictions, as well as Connecticut, Massachusetts, New Hampshire, Rhode Island, and Vermont. In this role, low to moderate complexity lost time claims will be adjusted, and there will be some exposure to litigated files. Skills in communication, customer service, detail orientation, and analysis will be used to work with all parties involved and resolve claims in an accurate, fair, and timely manner.
Key responsibilities
- Perform all the duties and responsibilities of a Claims Specialist I.
- Investigate, evaluate, negotiate and resolve low to moderate complexity lost time claims.
- Operate more independently and resolve claim files within a higher authority limit.
- Ability to interpret coverage, evaluate damages and negotiate settlements with limited supervisor intervention.
- Handle less complex litigated files; on occasion may be required to attend mediation or trials. Direct defense counsel in the resolution of claim.
- Consult with Supervisor on more complex coverage and technical matters.
- Provide technical support for less experienced specialists as needed.
- Perform other tasks as assigned.
What you need
- Four year degree or equivalent experience preferred.
- 2-4 years of insurance claims experience preferred with workers' compensation experience.
- Proof of licensing required.
Licensing
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.
Salary Range: $54,700 - $73,000
The final salary to be paid and position within the internal salary range is reflective of the employee’s work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.
Benefits
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:
- Medical and Prescription Drug Benefit
- Dental Benefit
- Vision Benefit
- Life Insurance and Disability Benefits
- 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
- Health Savings Account (HSA)
- Flexible Spending Accounts
- Tuition Assistance, Training, and Professional Designations
- Company-Paid Family Leave
- Adoption/Surrogacy Assistance Benefit
- Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
- Student Loan Refinancing Services
- Care.com Membership with Back-up Care, Senior Solutions
- Business Travel Accident Insurance
- Matching Gifts program
- Paid Volunteer Day
- Employee Referral Award Program
- Wellness programs
Additional Information
This position is a full time salaried, exempt (non overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it’s like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
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Salary : $54,700 - $73,000
