Workers Compensation Maintenance Claims Representative hybrid

The Company

At Utica National Insurance Group 1400 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 $1.6B awardwinning nationally recognized property & casualty insurance carrier.

Operating along the Eastern half of the United States our Home Office is based in Central New York with Regional Office locations including Buffalo Boston NYC Atlanta Dallas Columbus Richmond and Chicago.

What you will do

In this role youll handle workers compensation maintenance files which involve claims that have lifetime exposures of medical treatment and/or lost time. Skills in detail orientation will be used to manage a diary handle incoming mail review medical bills issues checks and follow medical treatment guidelines. With your customer service abilities you will also communicate directly with insureds claimants and medical providers. This role will be a hybrid position reporting to New Hartford NY; Buffalo NY; or Charlotte NC.

Key responsibilities:

• Handle maintenance files receiving and handling all WC claims involving lifetime exposures of lost time and/or medical treatment.
• Review medical bills issue indemnity checks apply medical treatment guidelines.
• Tasks include but are not limited to: diary management mail management setting reserves evaluation of compensability of treatment annual reporting age changes activity checks IME UR or Peer Reviews and other duties as assigned.
• Communicate directly with insureds claimants medical providers and others by telephone and through written correspondence.
• Occasionally settle smaller claims.
• Handle all claim assignments in accordance with quality program criteria.
• Follow directives and instructions from the Claims Supervisor.
• Performs other duties as assigned.
• Conforms with all corporate policies and procedures.

What you need:

• Bachelors Degree preferred or equivalent experience; Insurance coursework is helpful.
• 23 years previous claims experience 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: $44800 $57000

The final salary to be paid and position within the internal salary range is reflective of the employees 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
• CompanyPaid 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 Membership with Backup 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 hourly nonexempt (overtime eligible) position.

Utica National is an Equal Opportunity Employer.

Apply now and find out what its like to be a part of an amazing team thrive in an exciting environment and work for a company you can be proud of. Once you complete your application you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.

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Required Experience:

Unclear Seniority