Senior Workers' Compensation Claims Specialist (hybrid)

RiseMe; Charlotte (NC); Hybrid; USD 71,000 - 95,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life Insurance

401(k) Profit Sharing

HSA

Job summary

Utica National Insurance Group is seeking a Claims Specialist to handle complex workers' compensation and related claims. You will communicate with insureds, attorneys, and other parties, applying technical claims knowledge to settle matters within your authority.

The role is hybrid, with reporting lines to New Hartford, NY, Woodbury, NY, or Charlotte, NC. The ideal candidate has a 4-year business degree (or equivalent) and 1–2 years as a Claims Specialist or 3–4 years of adjusting experience,

Qualifications

• Customer service experience and investigation skills required.
• Detail-oriented with strong factual processing.
• Experience with workers' compensation or NY jurisdictions is a plus.

Responsibilities

• Handle complex claims in primarily New York jurisdictions.
• Communicate with insureds, attorneys, and parties.
• Settle claims within assigned authority and document decisions.
• Work in a hybrid environment reporting to multiple locations including Charlotte, NC.

Skills

Customer service experience

Investigative skills

Detail oriented

Education

4-year degree in business administration or equivalent experience

Job description

The Company

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.

Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier.

Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte.

What you will do

In this role, you'll use your customer service experience, investigative skills, and detail orientation to handle more serious and complex claims in primarily New York jurisdictions. Communicating with our insureds, attorneys, and other relevant parties will be required in this role. With technical claims knowledge, you'll also use your decision making skills to settle claims within your assigned authority. This role will be a hybrid position reporting to New Hartford, NY; Woodbury, Long Island, NY; or Charlotte, NC.

Key responsibilities

• Include performing all duties and responsibilities as outlined for Claims Specialist.
• Investigating and handling primarily New York Workers' Compensation claims of a complex and serious nature, and other jurisdictions as needed.
• Performing special claims investigation and handling matters requiring broad technical claims knowledge.
• Operating on an independent basis with little supervision.
• Settling claims within assigned authority.
• Numerous contact with attorneys concerning serious claim matters.
• Reviewing court decisions, law and coverage interpretations. Broad knowledge and understanding of the law and claim practices.
• May assume duties of the Claims Supervisor in the Supervisor's absence.

What you need

• 4-year degree in business administration or equivalent experience.
• Minimum of 1-2 years as Claims Specialist or 3-4 years adjusting experience.
• Lost time experience required.
• Experience with NY jurisdictions preferred.

Licensing:

Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.

Salary range: $71,000-$95,000

The final salary to be paid and position within the internal salary range is reflective of the employee’s work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.

Benefits

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

• Medical and Prescription Drug Benefit
• Dental Benefit
• Vision Benefit
• Life Insurance and Disability Benefits
• 401(k) Profit Sharing and Investment Plan(Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
• Health Savings Account (HSA)
• Flexible Spending Accounts
• Tuition Assistance, Training, and Professional Designations
• Company-Paid Family Leave
• Adoption/Surrogacy Assistance Benefit
• Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
• Student Loan Refinancing Services
• Care.com Membership with Back-up Care, Senior Solutions
• Business Travel Accident Insurance
• Matching Gifts program
• PaidVolunteer Day
• Employee Referral Award Program
• Wellness programs

Additional information

This position is a full time salaried, exempt (non overtime eligible) position.

Utica National is an Equal Opportunity Employer.