Senior Workers' Comp Claims Specialist (CA)

AF Group; New York (NY); Remote; USD 6,400 - 109,000; Full time

Job summary

AF Group is seeking an advanced-level workers' compensation claim handler in the New York area. The role involves investigating claims, determining compensability, and exercising significant discretion in settlements within authority.

The candidate will mentor junior handlers, coordinate special projects, and stay current with evolving workers' compensation statutes. California experience is noted as desirable.

Qualifications

• Bachelor's degree in a related field or equivalent
• Five years of experience in a workers' compensation claims environment
• Experience handling claims in multiple jurisdictions preferred
• Bilingual skills preferred

Responsibilities

• Investigates workers' compensation claims to determine compensability.
• Facilitates return to work and establishes reserves within authority.
• Manages medical bills and negotiates settlements with attorneys or injured parties.
• Mentors team members and coordinates special projects.
• Conducts audits of claim files and collaborates with managers.

Skills

Attention to detail

Communication skills

Mentoring

Analytical skills

Negotiation

Project coordination

Education

Bachelor's degree in a related field

Job description

AF Group is seeking an advanced-level workers' compensation claim handler in the New York area. The role involves investigating claims, determining compensability, and exercising significant discretion in settlements within authority.

The candidate will mentor junior handlers, coordinate special projects, and stay current with evolving workers' compensation statutes. California experience is noted as desirable.