Adjudication, Analysis Skills, Best Practices, Claims Management, Claims Processing, Communication Skills, Insurance, Interpersonal Skills, Litigation, Problem Solving Skills, Regulatory Compliance, Risk Management, State Laws and Regulations, Team Player, Third-Party Payer, Worker's Compensation
Benefits: Dental Insurance, Medical Insurance, Vision Insurance, Retirement, Paid Time Off.
Job Summary:
- We are looking for skilled professional with 2-4 years of experience in Worker's Compensation (our 60% claims are related to WC) . We're seeking a dynamic and knowledgeable individual to join our team and make a significant impact in incident claim liability mitigation through collaborative efforts with internal and external stakeholders and managing high case loads <900.
Must Haves:
- Associates Degree in Business, Risk Management or related field.
- Claim Litigations experience.
- 2-4 years of adjudicating worker's compensation and general liability claims at a high volume.
- Should be in 30 minutes drive of Rochester, NY
- Experience of managing end to end claims.
Nice-To-Haves:
- Experience managing a third party insurance agent like Traveler's insurance.
- Claims Adjuster License.
- Multi-state claims management.
- Bonus Points will be given to experience of working at an insurance firm, especially with Travelers.
Key Responsibilities:
- Conduct thorough investigations into worker's compensation claims.
- Assess and analyze claim information to ensure accurate and fair settlements.
- Collaborate with internal teams and external stakeholders for effective claims resolution.
- Stay updated on industry regulations and compliance standards.
- Provide expert guidance and support to ensure a smooth claims process.
Qualifications:
- Associates degree in Business, Risk Management or related field is required
- 2-4 years of hands-on experience primarily in Worker's Compensation and General liability claims.
- In-depth knowledge of claim investigation and settlement processes.
- Familiarity with relevant laws, multi-state regulations, and industry best practices.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal abilities.
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Macpower Digital Assets Edge Private Limited