Claims Specialist - Workers' Compensation

Acrisure • Iselin, NY

11h • Onsite

About The Position

About Acrisure: Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more. Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. Job Summary: As a NY Workers Compensation Claim Specialist, you will be responsible for working with clients to review and process insurance claims. The NY Workers Compensation Claim Specialist will need to demonstrate a working knowledge of NYS WC law and statutory requirements. Use this information to create optimum outcomes for the safety group, the injured worker, and the employer. The NY Workers Compensation Claim Specialist will gather documents used to investigate claims, review documentation, and work with clients and the Carrier to determine the validity and compensability of claims. Additionally, the NY Workers Compensation Claim Specialist will be responsible for providing guidance and advice to clients on the claims process and working with insurance companies to manage and resolve claims.

Requirements

• Minimum of 5 years of experience in NY workers compensation claims processing or related field
• Strong customer service and presentation skills
• Strong computer skills and proficiency in the use of claims management software
• Strong investigative and analytical skills
• Excellent communication and negotiation skills
• Strong attention to detail and ability to work in a fast-paced environment.

Responsibilities

• Demonstrate a working knowledge of NYS WC law and statutory requirements.
• Review and evaluate NY workers compensation claims for clients
• Gather information used to investigation and determine validity
• Able to calculate and recommend changes to reserves to reflect ultimate cost
• Negotiate/evaluate settlements with insurance companies on behalf of clients
• Knowledge of early return to work programs and 3rd party recovery opportunities.
• Provide advice and guidance to clients on the NY Workers Comp claims process
• Review and analyze trend data to identify potential trends and reserve inadequacies
• Understand how the experience modification rating impacts policies
• Provide exceptional customer service to clients
• Deliver clear and concise presentations on claims and insurance matters
• Foster and maintain an excellent working relationship with the NYSIF case managers, unit managers and business managers in each branch office.

Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
• … and so much more!
• This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed