Workers Comp Claims Associate

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profile Job Location:

Flushing, NY - USA

profile Yearly Salary: USD 65000 - 73000
Posted on: 17 days ago
Vacancies: 1 Vacancy

Job Summary

JOB DESCRIPTION
  • Review of industry workers compensation claims and determine compensability
  • File all required workers compensation forms timely
  • Oversee medical management and investigations of claims
  • Calculate payroll and compensation payment based on set guidelines
  • Serve as liaison and interface with Comp nurse and claimant as part of the review process
  • Assign cases for investigations and review progress
  • Prepare workers compensation claim for long-term disability
  • Ability to evaluate the degree of disability and scheduled loss value
  • Maintains professional relationship with all appropriate parties involved with the claim.
  • Refers cases as appropriate to management.
  • Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
  • Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution
  • Analyzes and processes workers compensation claims by investigating and gathering information to determine the exposure on the claim
  • Communicate with company representative regarding claims management.
  • Perform other duties and special assignments as necessary

Required Experience Skills and Qualifications
  • A four-year college degree preferred.
  • A minimum of 3 years of experience as workers compensation examiner required
  • Extensive knowledge of NYS Disability and Workers Compensation laws
  • Excellent interpersonal organizational and communication skills
  • Working knowledge of Microsoft Word & Excel
  • Must be able to work independently and collectively
  • Familiarity with claim reserve
  • Must possess the ability to make sound judgment
  • Strict confidentiality

This is a full-time onsite 35 hours per week position. Days and hours of work are Monday through Friday 8:30AM-4:30PM


Required Experience:

IC

JOB DESCRIPTIONReview of industry workers compensation claims and determine compensabilityFile all required workers compensation forms timelyOversee medical management and investigations of claimsCalculate payroll and compensation payment based on set guidelinesServe as liaison and interface with Co...
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