Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level. Prepares necessary state filings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management.
Work Location: Yes we prefer Syracuse but we will consider remote Candidate must have a valid NY Adjuster's License Minimum 2 years of relevant experience handling NY Worker's Compensation lost time claims. Education & Licensing Bachelor's degree from an accredited college or university preferred. Candidate must have a valid NY Adjuster's License Three (3) years of claims management experience or equivalent combination of education and experience required.
Claims Examiner - Workers Compensation • Syracuse, NY, United States
Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-d... Show more
Technical Claims Consultant, Auto Liability (ABI).For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most.We live our values e... Show more
WellNow Patient Care Technician.As a WellNow Patient Care Technician, you will be a vital part of the team and will maintain the "path" between the front end and clinical side of operations.You wil... Show more
Join our team and live the Ollie-tude! (Ollie's Core Values).BE A TEAM PLAYER - Associates are expected to be supportive and work together.BE CARING - How do I treat others with courtesy, dignity, ... Show more
Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used, cleaning of meter boxes, and removal of vegetation impeding access to meters... Show more
IntroductionAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, its our purpose.Every day, we help clients navigate ... Show more
NY Workers' Compensation Claims Specialist.The NY Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation cl... Show more
Workers Compensation Claims Examiner.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the un... Show more
Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more
Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work f... Show more
Ready to unlock unlimited earning potential? You will have unlimited earning potential with $16/hour base pay and uncapped commission! Employees earn $19/hour just hitting minimum expectations and ... Show more
Davies Risk Services is looking for independent contractors to perform insurance property surveys.This is a great opportunity for full-time or part-time work.Our contractors survey both residential... Show more
Beacon Solutions Group, a subsidiary of The Bonadio Group, is currently seeking an Accounts Receivable Manager.This person will provide billing services and general revenue cycle services to health... Show more
Claims AdjusterAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we help clients navig... Show more
The New York Department of Financial Services seeks to build an equitable, more transparent and resilient financial system that benefits New Yorkers and supports business.Through engagement, data-d... Show more
At Panera, our people come first.If you're looking for a place where you can grow, feel supported, be yourself, enjoy great perks, and have a little fun along the wayyou're in the right spot.We're ... Show more
Job TitleResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation.Monitors and controls back... Show more
Carrying out the primary duty of collecting payments from customers for their tolls Verifying the amount owed by a customer and making necessary changes for each customer Keeping and maintaining up... Show more
