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Senior Workers' Compensation Claims Specialist – Hybrid
Utica National Insurance Group. Investigate and handle primarily New York Workers' Compensation claims of a complex and serious nature, and other jurisdictions as needed .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in handling complex Workers' Compensation claims, particularly within New York jurisdictions, while maintaining strong communication with attorneys and insured parties. Possesses investigative skills and a broad understanding of law and claims practices essential for effective claims resolution.
Highest-signal resume keywords
Workers' Compensation Claims HandlingInvestigative SkillsTechnical Claims KnowledgeAdjuster LicenseCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Claims InvestigationClaims SettlementLaw ReviewCoverage InterpretationLost Time Experience
Soft Skills
Communication SkillsIndependent Operation
Certifications & Qualifications
Adjuster License
Industry Keywords
New York JurisdictionsClaims SpecialistClaims SupervisorClaims PracticesBusiness Administration
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 4-year degree in business administration or equivalent experience
- Minimum of 1-2 years as Claims Specialist or 3-4 years adjusting experience
- Lost time experience required
- Experience with NY jurisdictions preferred
- Required to obtain adjuster license(s) in the state(s) in which assigned to adjust claims
- Licensing must be obtained within the timeframe set by the Company and maintained as needed throughout employment
- Customer service experience
- Investigative skills
- Technical claims knowledge
- Broad knowledge and understanding of law and claim practices
Benefits
Comp & perks- Medical and Prescription Drug Benefit
- Dental Benefit
- Vision Benefit
- Life Insurance and Disability Benefits
- 401(k) Profit Sharing and Investment Plan, including 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
- Company-Paid 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.com Membership with Back-up Care, Senior Solutions
- Business Travel Accident Insurance
- Matching Gifts program
- Paid Volunteer Day
- Employee Referral Award Program
- Wellness programs
- Competitive pay
- Career advancement and challenging work opportunities