What are the responsibilities and job description for the Worker's Compensation Maintenance Claims Representative (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 Buffalo, Boston, NYC, Atlanta, Dallas, Columbus, Richmond, and Chicago.
What you will do
In this role, you'll handle workers' compensation maintenance files which involve claims that have lifetime exposures of medical treatment and/or lost time. Skills in detail orientation will be used to manage a diary, handle incoming mail, review medical bills, issues checks, and follow medical treatment guidelines. With your customer service abilities, you will also communicate directly with insureds, claimants, and medical providers. This role will be a hybrid position reporting to New Hartford, NY; Buffalo, NY; or Charlotte, NC.
Key responsibilities:
- Handle maintenance files, receiving and handling all WC claims involving lifetime exposures of lost time and/or medical treatment.
- Review medical bills, issue indemnity checks, apply medical treatment guidelines.
- Tasks include, but are not limited to: diary management, mail management, setting reserves, evaluation of compensability of treatment, annual reporting, age changes, activity checks, IME, UR, or Peer Reviews and other duties as assigned.
- Communicate directly with insureds, claimants, medical providers and others by telephone and through written correspondence.
- Occasionally settle smaller claims.
- Handle all claim assignments in accordance with quality program criteria.
- Follow directives and instructions from the Claims Supervisor.
- Performs other duties as assigned.
- Conforms with all corporate policies and procedures.
What you need:
- Bachelor's Degree preferred or equivalent experience; Insurance coursework is helpful.
- 2-3 years previous claims experience preferred.
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: $42,880 - $54,000
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 hourly, non-exempt (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 : $42,880 - $54,000
