Senior Workers' Compensation Claims Specialist (hybrid)

Utica Mutual Insurance Company / UMICO

Charlotte (NC)

Hybrid

USD 71,000 - 95,000

Full time

41 hours ago
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Benefits offered by this job

Medical and Prescription Drug Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment
Health Savings Account
Flexible Spending Accounts
Tuition Assistance, Training, and Pro
Company-Paid Family Leave
Adoption/Surrogacy Assistance
Voluntary Benefits
Employee Referral Award
Wellness programs

Job summary

Utica National Insurance Group is seeking a Senior Workers' Compensation Claims Specialist for a hybrid role, with duties spanning investigation, negotiation, and settlement of complex claims, primarily in New York jurisdictions. The position supports communication with insureds, attorneys, and relevant parties, and may assume duties of a supervisor in the absence of a supervisor.

Based in a hybrid setting with potential locations in NH, NY, or Charlotte, NC, the role requires a 4-year business

Qualifications

  • Requires 4-year degree in business administration or equivalent experience.
  • Minimum of 1–2 years as Claims Specialist or 3–4 years adjusting experience.
  • License to adjust claims must be obtained in assigned states.
  • NY jurisdictions experience is preferred.

Responsibilities

  • Investigate and handle complex NY Workers' Compensation claims and related jurisdictions.
  • Settle claims within assigned authority with attention to detail.
  • Communicate with insureds, attorneys, and other parties involved.

Skills

Customer service
Investigative skills
Detail orientation

Education

4-year degree in business administration or equivalent

Job description

Senior Workers' Compensation Claims Specialist (hybrid)

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.

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
  • 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
  • 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.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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