Claims Examiner - Workers Compensation | Jurisdiction: NY | Licensing: NY - Remote

By joining reputed company, 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 unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: NY | Licensing: NY - Remote ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include reputed company, accountability, collaboration, growth, and inclusion. WORK LOCATIONS : Hybrid if located reputed company a 25 mile radius of any reputed company Offices, if located reputed company of the radius the position will work remote. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims reputed company service expectations, industry best practices, and specific client service requirements .

• ESSENTIAL RESPONSIBLITIES MAY INCLUDE
• Manages reputed company workers’ compensation claims from initial investigation through final resolution
• Evaluates claim exposure and develops action plans to drive timely, effective outcomes
• Negotiates settlements reputed company authority while ensuring compliance with guidelines
• Establishs and maintains accurate reserves throughout the life of each claim
• Calculates and issues benefit payments, adjustments, and settlements in a timely manner
• Prepares and submits required state filings reputed company statutory deadlines
• Oversees litigation, partnering with vendors to manage strategy and control costs
• Applies cost containment strategies, including use of preferred vendor partnerships
• Handles claim recoveries such as subrogation, Second Injury Fund, and Medicare/SS offsets
• Reports to excess carriers and responds to requests promptly and professionally
• Communicates regularly with claimants and clients to provide updates and maintain strong relationships
• Ensures claim files are well-documented and coded accurately
• Escalates reputed company or high-risk cases to leadership as appropriate

QUALIFICATIONS Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing / Jurisdiction Knowledge: NY jurisdiction and NY licensing

• TAKING CARE OF YOU
• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE reputed company applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-reputed company stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual : Hearing , reputed company and talking As required by law, reputed company provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ( 63,404.00 - 85,000 USD Annual) . A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. # claimsexaminer #claims #hybrid #LI-REMOTE reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply To This Job