Senior Workers' Compensation Claims Examiner | Remote
Current Jobs at King's Insurance Staffing
·Today
- Salary
- $90k – $105k
- Location
- , Newark, Philadelphia, New York, , Pennsylvania, New York, New Jersey
- Workplace
- Remote
- Type
- Full-time
- Department
- Human Resources
- Seniority
- Senior
- Experience
- 4+ years
- Source
- RecruiterFlow
Description
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Independently oversee a portfolio of approximately 100-105 Workers' Compensation claims, including complex and high-exposure indemnity cases.
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Evaluate newly reported claims, gather relevant information, and establish appropriate strategies for resolution.
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Review medical documentation, employment information, and investigative findings to determine claim eligibility and appropriate benefits.
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Ensure claims decisions and benefit payments comply with New York Workers' Compensation laws and regulatory requirements.
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Coordinate medical care, review treatment requests, and address billing matters to support
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4+ years of experience managing New York Workers' Compensation claims, including indemnity and complex claim exposures.
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Demonstrated experience handling New York Workers' Compensation claims.
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Active New York claims handling license required.
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Strong working knowledge of New York Workers' Compensation statutes, claims procedures, and regulatory requirements.
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Experience evaluating compensability, managing medical treatment, establishing reserves, and negotiating settlements.
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Ability to independently manage a substantial claims inventory while maintaining accuracy and meeting established deadlines.
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Experience coordinating with defense counsel and overseeing litigated claims.
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$90,000 - $105,000 (depending on experience)
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Flexible work schedule offering work-life balance
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Comprehensive medical, dental, and vision insurance options
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401(k) retirement savings plan with potential employer contributions
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Paid time off, vacation, and company-observed holidays