Worker s Compensation Claims Examiner ESF9205

• Great worklife balance!
• Market leader in commercial insurance and risk management!
• Offer a wide range of career paths and opportunities for growth!
• Competitive Compensation and Benefits: health insurance retirement plans and other benefits!

What you will be doing:

• Investigate and manage workers compensation claims in multiple jurisdictions.
• Coordinate with nurse case managers counsel external vendors and insureds for efficient claims handling.
• Complete and document initial loss investigations to determine compensability.
• Establish initial and subsequent reserves for anticipated exposure.
• Review medical bills for causal relationship to reported claims.
• Liaison with insureds nurse case managers and counsel to oversee claim management and facilitate return to work.
• Develop and maintain action plans to ensure reserve adequacy and timely resolution of claims.
• Negotiate settlement of claims within designated authority.
• Prepare and present claim review summaries for insureds brokers and internal contacts as requested.
• Participate in discussions with insureds and counsel on strategies for successful claim closure.
• Provide guidance and assistance to insureds and brokers on timely reporting of claims.
• Manage insured onboarding including training on claims reporting and use of the insured portal.

Experience you will need:

• Bachelors degree preferred.
• Professional designation such as CPCU ARM CRM or similar preferred.
• Proficient in Microsoft Office and adaptable to learn other software applications.
• Excellent oral and written communication skills.
• Detail oriented with a high accuracy rate.
• Strong critical thinking and organizational skills.
• Ability to problemsolve and use good judgment.
• Selfmotivated with excellent time management skills.
• 5 years adjusting workers compensation claims in multiple jurisdictions.
• Experience in NY NJ and PA preferred with NY experience required.
• Healthcare industry experience preferred.
• Construction industry experience preferred.
• 57 years experience as a Workers Comp loss time claim adjuster.