New York Workers' Compensation Claims Examiner | Remote

King's Insurance Staffing; New York (NY); Remote; USD 95,000 - 120,000; Full time

Job summary

An established industry player is seeking a skilled Workers' Compensation Claims Specialist to join their dynamic team. This role involves evaluating and managing New York Workers' Compensation claims with a focus on quality and efficiency. You'll handle a caseload of lost time files, negotiate settlements, and ensure compliance with state regulations. With a competitive salary range and excellent benefits, including flexible work options and generous PTO, this opportunity allows you to thrive in a supportive environment while making a significant impact in the insurance sector.

Benefits

Employer matching 401(k) plan

Medical, Dental, Vision and Life plans

Employer Contribution to HSA

Generous PTO

Flexible work schedule

Paid maternity leave

Paid paternity leave

Disability insurance

Tuition assistance

Student loan assistance

Qualifications

• 5-10+ years of experience in handling New York Workers' Compensation claims.
• Must hold an active New York Adjuster's License.

Responsibilities

• Evaluate and manage claims from initial report to final settlement.
• Negotiate settlements and authorize payments within delegated limits.

Skills

New York Workers' Compensation claims experience

Negotiation skills

Organizational skills

Education

Bachelor's Degree

Job description

1 week ago Be among the first 25 applicants

King's Insurance Staffing provided pay range

This range is provided by King's Insurance Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$95,000.00/yr - $120,000.00/yr

Additional compensation types

Annual Bonus

Direct message the job poster from King's Insurance Staffing

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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Insurance and Insurance Carriers

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Disability insurance

Student loan assistance

Tuition assistance

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