Workers Compensation Medical Only Representative entry-level 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 Boston NYC Buffalo Atlanta Dallas Columbus Richmond and Chicago.

This is a hybrid position reporting to our New Hartford NY location.

What you will do

The Medical Only (MO) role is a workers compensation claims representative position. You will be responsible for handling low complexity claims that are first party and classified as medical only. In this position you will use skills in investigation evaluation and negotiation to resolve claims. Communication skills will also be applied to correspond in writing and over the phone with individuals including injured workers insureds agents vendors team members and defense counsel. The MO role is an important step to building knowledge and skills and may support room for future growth and career pathing potential within the Workers Compensation Department!

Key responsibilities

• Receive and set up claims assignments from the insured First Notice of Loss reports.
• Review incoming loss notices and assign accordingly to claim representatives within the unit or send to the appropriate regional claim office.
• Investigate first party low severity Workers Compensation medical claims.
• Confirm compensability & coverage
• Communicate directly with the insureds medical providers agents and vendors by telephone and in writing.
• Review and approve medical treatments and associated medical bills.
• Maintain strict diary on all active files.
• Follow directives and instructions from Claims Supervisors and superiors.
• Adhere to the WC Claims Best Practices Workers Compensation statutes bulletins and attend company training classes.
• Provide exceptional customer service.
• Adhere to mandated state regulations.
• Operate within a rulesbased environment with a strong customer satisfaction emphasis.
• Perform other tasks as assigned by management in relation to daily operations.
• Monitor and update Medicare reporting.

What you need

• College degree or equivalent experience preferred.
• 12 years of previous claims experience preferred but not required; professional customer service experience is beneficial.

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: $35200 $44000

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
• 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.

Required Experience:

Unclear Seniority