Litigation Specialist - Workers Compensation

Lodestar Claims & Risk Services; Village of Bronxville (NY); À distance; USD 84 000 - 100 000; Plein temps

Résumé du poste

Lodestar Claims & Risk Services is seeking a Litigation Specialist focused on workers' compensation in a PMA Remote-PMAR setup. The role requires evaluating complex claims, negotiating within authority, and driving favorable outcomes while coordinating with vendors and defense counsel.

The successful candidate will possess a NY license, 7+ years of NY workers' compensation experience, and strong skills in negotiation, documentation, and regulatory compliance.

Qualifications

• 7+ years of progressively responsible experience in handling NY complex workers' compensation claims and workers' compensation litigation.
• Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques.
• Excellent verbal and written communication skills, with ability to lead or participate in meetings and seminars.
• Computer literacy, including Word, Excel and PowerPoint.
• NY License required.

Responsabilités

• Promptly evaluates assigned claims; develops strategy to mitigate indemnity, medical, and loss adjustment expense exposure.
• Tracks status of claims using management reports and tools (e.g., Excel).
• Establishes and maintains reserves with documented rationale; notifies when exposure exceeds authority.
• Executes action plans for claim resolution balancing expense and loss outcomes.
• Collaborates with internal and external professionals to reach dispositions.
• Manages litigation and defense counsel to protect insured and Lodestar interests.

Connaissances

NY License

7+ years NY WC claims

Negotiation techniques

Excellent communication

Microsoft Office

Litigation management

Outils

Word

Excel

PowerPoint

Description du poste

Litigation Specialist - Workers Compensation

#4918

Location

PMA Remote-PMAR

Position

Litigation Spec

External Description

Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines.

Responsibilities:

• Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
• Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as Excel, including but not limited to such information as permanency evaluations, hearing dates, attorney information, settlement evaluation, venue, judges, current litigation status, subrogation credits due, and overall financial outcomes.
• Within granted authority, assures appropriate loss and expense reserves were established with documented rationale. Maintains and adjusts reserves over the life of the litigation to reflect changes in exposure, keeping in compliance with reserve authorization process. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority.
• Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate financial balance between allocated expense and loss outcome.
• Works collaboratively with multiple internal and external professionals and business partners in reaching appropriate disposition of all claims.
• Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome.
• Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements.
• Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
• Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service.
• Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims.
• Manages litigation to achieve appropriate financial outcomes. Effectively manages defense counsel to properly protect the insured and Lodestar interests.
• Participates with claims management in the counsel evaluation process of staff and panel counsel. Makes recommendations for the addition / deletion of counsel.
• Potential regional travel for attendance at hearings and trials.
• Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements

• NY License required.
• A minimum of 7 years of progressively responsible experience in handling NY complex workers compensation claims and workers compensation litigation required.
• Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques.
• Strong organizational skills and detail oriented.
• Ability to work independently, prioritize workload, handle multiple tasks simultaneously and exercise good judgment.
• Working knowledge of workers compensation claims handling practices.
• Excellent verbal and written communication skills, including a strong ability to actively lead or participate in meetings, presentations and seminars
• Excellent customer service skills, with emphasis on accessibility and responsiveness.
• Computer literacy, including experience in Word, Excel and PowerPoint.
• Strong litigation management skills and extensive knowledge of applicable regulations, legislation and judicial decisions in relevant jurisdictions.

Lodestar is providing applicants with the anticipated wage range for this position in compliance with state regulations. The wage range for this role is $84,000 to $100,000. Wage ranges are based on national market data and may cover a wide range of geographies. Applicants may be paid above, within or below this range based on a variety of factors.

This Company is an Equal Opportunity Employer, and does not discriminate on the basis of race, gender, ethnicity, religion, national origin, age, disability, veteran status, or on any other basis prohibited by law. Information on race, gender and national origin will only be used for statistical and recordkeeping purposes, and will not be used in making any employment decisions. All information provided will be kept separate from your expression of interest. Providing this information is strictly voluntary, and you will not be subjected to any adverse action or treatment if you choose not to provide this information. If you do not choose to answer these questions, we ask that you select "Decline to Identify" for each question. Thank you for your voluntary cooperation.

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