Utica National Insurance Group

Claims Specialist

• Handle more serious and complex claims, primarily in New York jurisdictions
• Investigate and handle complex and serious New York Workers' Compensation claims and claims in other jurisdictions as needed
• Perform special claims investigations and handling matters requiring broad technical claims knowledge
• Communicate with insureds, attorneys, and other relevant parties
• Settle claims within assigned authority
• Contact attorneys concerning serious claim matters
• Review court decisions, law, and coverage interpretations
• Perform all duties and responsibilities outlined for Claims Specialist
• May assume Claims Supervisor duties during the Supervisor's absence

Senior Workers' Compensation Claims Specialist

• Investigate and handle primarily New York Workers' Compensation claims of a complex and serious nature, and other jurisdictions as needed
• Perform special claims investigation and handling matters requiring broad technical claims knowledge
• Operate independently with little supervision
• Settle claims within assigned authority
• Communicate with attorneys concerning serious claim matters
• Communicate with insureds, attorneys, and other relevant parties
• Review court decisions, law, and coverage interpretations
• Assume Claims Supervisor duties in the Supervisor's absence
• Perform all duties and responsibilities outlined for Claims Specialist

Senior Workers' Compensation Claims Specialist – Hybrid

Claims Representative

• Sort and index claims-related documents so Claims Adjusters can begin servicing customers
• Process billing invoices
• Complete forms and letters for relevant parties as requested by the Claims Adjuster
• Request and obtain relevant claim documentation and ensure timely follow-up
• Mail and print letters, files, and other claims documents
• Perform work within vendor web portals
• Perform research while working exception reports
• Complete required internal claims reports timely
• Perform financial transaction job tasks
• Handle manual exception checks
• Update vendor files with new vendors or updates to existing vendors
• Perform other duties as assigned
• Conform with corporate policies and procedures

Claims Service Representative, Entry-level

• Sort and index claims-related documents daily so Claims Adjusters can begin servicing customers
• Process billing invoices
• Complete forms and letters for relevant parties as requested by the Claims Adjuster
• Request and obtain relevant claim documentation and ensure timely follow-up
• Mail and print letters, files, and other claims documents
• Perform work within vendor web portals
• Perform research while working exception reports
• Complete required internal claims reports on time
• Perform financial transaction job tasks
• Handle manual exceptions checks
• Update vendor files with new vendors or updates to existing vendors
• Perform other duties as assigned
• Conform with corporate policies and procedures