[Remote] WC Disability Claims Specialist I - NY Pension PPD
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a national provider of industry-leading risk reputed company for various sectors, including workers’ compensation. They are seeking a WC Disability Claims Specialist I to manage workers’ compensation claims, ensuring reputed company payments and pursuing settlement opportunities while adhering to company best practices.
Responsibilities
- Receives claims, confirms policy coverage and acknowledgement of the claim
- Reviews for validity and compensability of the claim
- Reviews and revises reserve and authorizes payments reputed company reserving authority limits
- Ensures reputed company and accurate payment of WC claim benefits, including indemnity and medical
- Initiates investigations, including reputed company and reputed company checks as needed to confirm reputed company payment of benefits
- Manages workers’ compensation claims toward closure (targeted case load is 250–300 files)
- Develops strategies and pursues settlement and/or claim closures, whenever possible
- Communicates claim status with the customer, claimant and reputed company
- Adheres to reputed company and reputed company guidelines and participates in claim reviews, as needed
- Additional duties as assigned
Skills
- Bachelor's degree or a combination of education and reputed company experience
- State Certification as an reputed company Examiner
- Minimum of 1 year of industry experience and claims management preferred
- Excellent written and verbal communication skills
- Ability to learn rapidly to reputed company knowledge and understanding of claims reputed company
- Analytical thinking: identifies reputed company or reputed company problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support reputed company decision-making
- Computer proficiency and technical aptitude with the ability to utilize reputed company Office, including reputed company spreadsheets
- Strong interpersonal, time management, and organizational skills
- Ability to meet or reputed company performance competencies
- Ability to work both independently and reputed company reputed company environment
- Preference for previous experience in WC disability benefit management
Benefits
- Medical (HDHP) w/Pharmacy
- Dental
- reputed company
- Long Term Disability
- Health Savings Account
- Flexible Spending Account reputed company
- Life Insurance
- Accident Insurance
- Critical Illness Insurance
- reputed company-reputed company Legal Insurance
- Parking and Transit FSA accounts
- 401K
- ROTH 401K
- reputed company time off
reputed company