Claims Specialist - Workers' Compensation

Acrisure; Woodbridge Township (NJ); On-site; USD 80,000 - 87,550; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision insurance

Generous paid time off

401(k) with immediate vesting

Paid maternity and paternity leave

Employee Assistance Program

Wellness resources

Job summary

A financial services firm is seeking a NY Workers Compensation Claim Specialist responsible for processing insurance claims. This role requires a minimum of 5 years of experience in claims processing, strong analytical skills, and exceptional customer service capabilities. You will review claims, guide clients through the process, and ensure compliance with NY state laws. Join a dynamic team dedicated to making a positive impact.

Qualifications

• Minimum of 5 years of experience in NY workers compensation claims processing or related field.
• Ability to work in a fast-paced environment.

Responsibilities

• Review and evaluate NY workers compensation claims for clients.
• Provide guidance and advice to clients on the claims process.
• Deliver clear presentations on claims and insurance matters.

Skills

Strong customer service and presentation skills

Strong computer skills

Strong investigative and analytical skills

Excellent communication skills

Strong negotiation skills

Attention to detail

Tools

Claims management software

Job description

About Acrisure

Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.

Job Description

Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.

Job Summary

As a NY Workers Compensation Claim Specialist, you will be responsible for working with clients to review and process insurance claims. The NY Workers Compensation Claim Specialist will need to demonstrate a working knowledge of NYS WC law and statutory requirements. Use this information to create optimum outcomes for the safety group, the injured worker, and the employer. The NY Workers Compensation Claim Specialist will gather documents used to investigate claims, review documentation, and work with clients and the Carrier to determine the validity and compensability of claims. Additionally, the NY Workers Compensation Claim Specialist will be responsible for providing guidance and advice to clients on the claims process and working with insurance companies to manage and resolve claims.

Key Responsibilities

• Demonstrate a working knowledge of NYS WC law and statutory requirements.
• Review and evaluate NY workers compensation claims for clients
• Gather information used to investigation and determine validity
• Able to calculate and recommend changes to reserves to reflect ultimate cost
• Negotiate/evaluate settlements with insurance companies on behalf of clients
• Knowledge of early return to work programs and 3rd party recovery opportunities.
• Provide advice and guidance to clients on the NY Workers Comp claims process
• Review and analyze trend data to identify potential trends and reserve inadequacies
• Understand how the experience modification rating impacts policies
• Provide exceptional customer service to clients
• Deliver clear and concise presentations on claims and insurance matters
• Foster and maintain an excellent working relationship with the NYSIF case managers, unit managers and business managers in each branch office.

Qualifications

• Minimum of 5 years of experience in NY workers compensation claims processing or related field
• Strong customer service and presentation skills
• Strong computer skills and proficiency in the use of claims management software
• Strong investigative and analytical skills
• Excellent communication and negotiation skills
• Strong attention to detail and ability to work in a fast-paced environment.

If you have a passion for helping clients navigate the claims process, and have strong customer service and presentation skills, we would love to hear from you.

Pay Details

The base compensation range for this position is $80,000 - $87,550. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
• … and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting [e-mail].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

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Welcome, your new opportunity awaits you.