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About the Role

In this role, you'll handle primarily NY workers' compensation maintenance files which involve claims that have lifetime exposures of medical treatment and/or lost time. Skills in detail orientation will be used to manage a diary, handle incoming mail, review medical bills, issues checks, and follow medical treatment guidelines. With your customer service abilities, you will also communicate directly with insureds, claimants, and medical providers.

Responsibilities

Handle maintenance files, receiving and handling all WC claims involving lifetime exposures of lost time and/or medical treatment.
Review medical bills, issue indemnity checks, apply medical treatment guidelines.
Manage diary, mail, set reserves, evaluate compensability of treatment, handle age changes, activity checks, IME, UR, or Peer Reviews.
Communicate directly with insureds, claimants, medical providers and others by telephone and through written correspondence.
Occasionally settle smaller claims.
Handle all claim assignments in accordance with quality program criteria.
Follow directives and instructions from the Claims Supervisor.
Performs other duties as assigned.
Conforms with all corporate policies and procedures.

Requirements

Bachelor's Degree preferred or equivalent experience.
Insurance coursework is helpful.
2-3 years previous claims experience preferred.
NY claims experience preferred.
Knowledge of other Northeastern states helpful.
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims.
Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.

Skills

Detail orientation
Customer service

Location

New Hartford, NY
Woodbury, Long Island
Charlotte, NC

Work Type

Hybrid
Full-time
Hourly
Non-exempt

Experience Level

2-3 years previous claims experience preferred

Education Level

Bachelor's Degree preferred or equivalent experience
Insurance coursework helpful

Salary/Compensations

$44,000 - $55,000

Benefits

Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan
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

About the Company

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.
Utica National Insurance Group is an "A" rated $1.6B award-winning, nationally recognized property & casualty insurance carrier.
Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including Buffalo, Boston, NYC, Atlanta, Dallas, Columbus, Richmond, and Chicago.

Equal Opportunity

Utica National is an Equal Opportunity Employer.