WC Loss Time Claims Adjuster

001 Brown & Brown, Inc; United States; Remote; USD 55,000 - 95,000; Full time

Benefits offered by this job

Health Benefits: Medical/Rx

Dental

Vision

Life Insurance

Disability Insurance

ESPP

401k

Student Loan Assistance

Tuition Reimbursement

Mental Health Services

Paid Time Off

Holidays

Job summary

Brown & Brown is seeking a WC Loss Time Claims Adjuster to join our growing team in the United States. The role manages Workers' Compensation claims within NYS guidelines and authority, handling investigations, reserves, settlements, and communications with claimants, attorneys, and providers.

Ideal candidates hold a NYS license (or commit to obtaining within 6 months), have experience adjusting NYS workers' compensation claims, and demonstrate strong confidentiality and telephone skills.

Qualifications

• New York State License required or obtained within 6 months of employment.
• Experience adjusting New York State workers' compensation claims.
• Excellent confidentiality and professional communication skills.

Responsibilities

• Investigate and gather information to determine compensability via interviews.
• Secure and file FROI & SROI forms with NYS WC Board and parties.
• Establish reserves and authorize payments within guidelines.
• Examine and authorize medical bill payments and vendor invoices.
• Refer cases for IMEs when indicated and prepare counsel for hearings.
• Respond to inquiries from claimants, clients, attorneys, and providers.
• Apply cost containment techniques and manage recoveries.
• Identify cases for reporting to the Excess Carrier.
• Negotiate settlements and control disposition from investigation to settlement.
• Coordinate with teams to ensure timely claims closure.

Skills

Telephone etiquette

Confidentiality

NY WC experience

Education

Bachelor's degree

207(a)/207(b) claims exp

Job description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Brown & Brown is seeking a WC Loss Time Claims Adjuster to join our growing team!

The role of the WC Loss Times Claims Adjuster is to manage Workers' Compensation claims within specific limits and authority.

How You Will Contribute:

• Investigate and gather information to determine compensability by conducting three-point contact interviews with the employer, claimant, and healthcare provider.


• Secure and file necessary documents, including FROI & SROI forms with the NYS Workers' Compensation Board, claimant and claimant's attorney.


• Establish reserves, authorize payments & treatment within the NYS Medical Treatment Guidelines, under a set of authority.


• Examine and authorize payment of medical bills.


• Recognize and refer cases when IMEs are indicated.


• Prepare and instruct counsel to defend our interests for hearings at the NYS WC Board.


• Respond to written and telephone inquiries from claimants, clients, attorneys, doctors & vendors.


• Establish proper cost containment techniques; vendor referrals, recoveries & strategic case planning.


• Recognize cases that meet the criteria for reporting to the Excess Carrier.


• Negotiate settlements.


• Control the disposition of the claim process from investigation to settlement.

Licenses & Certifications:

• New York State License is required or obtained within 6 months of employment.

Skills & Experience to be Successful:

• Exceptional telephone demeanor.


• Ability to maintain a high level of confidentiality.


• Prior experience in adjusting New York State workers' compensation claims.

Preferred:

• Bachelor's degree is preferred.


• Volunteer Firefighters, 207(a) and 207(b) claims handling experience are preferred.

Pay Range

$55,000 - $95,000 Annual

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance


• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement


• Mental Health & Wellness: Free Mental Health &Enhanced Advocacy Services


• Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, "The Power to Be Yourself".