Senior NY Workers' Comp Claims Examiner - Flexible Schedule

King's Insurance Staffing; New Jersey; Sur place; USD 90 000 - 105 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Medical, dental, and vision insurance

401(k) retirement plan

Paid time off and holidays

Résumé du poste

King's Insurance Staffing is seeking an experienced Senior Workers' Compensation Claims Examiner to join a growing claims operation in New Jersey. The role focuses on NY WC claims with complex indemnity files, requiring independent management and sound judgment.

You will oversee 100–105 active claims, evaluate reports, and coordinate with defense counsel to ensure accurate reserves, proper benefits, and regulatory compliance under New York law.

Qualifications

• 4+ years of experience managing New York Workers' Compensation claims.
• Experience handling indemnity and complex claim exposures.
• Strong knowledge of New York WC statutes and procedures.
• Experience evaluating compensability and reserving medical treatment.
• Ability to manage a large claims inventory independently.
• Experience coordinating with defense counsel and litigated claims.

Responsabilités

• Independently oversee a portfolio of approximately 100-105 Workers' Compensation claims, including complex and high-exposure indemnity cases.
• Evaluate newly reported claims, gather relevant information, and establish appropriate strategies for resolution.
• Review medical documentation, employment information, and investigative findings to determine claim eligibility and appropriate benefits.
• Ensure claims decisions and benefit payments comply with New York Workers' Compensation laws and regulatory requirements.
• Coordinate medical care, review treatment requests, and address billing matters to support.

Connaissances

NY WC claims

Indemnity claims

Complex claims mgmt

Regulatory knowledge

Settlement negotiation

Defense counsel

Description du poste

King's Insurance Staffing is seeking an experienced Senior Workers' Compensation Claims Examiner to join a growing claims operation in New Jersey. The role focuses on NY WC claims with complex indemnity files, requiring independent management and sound judgment.

You will oversee 100–105 active claims, evaluate reports, and coordinate with defense counsel to ensure accurate reserves, proper benefits, and regulatory compliance under New York law.