Workers' Compensation Claims Examiner

Role: Worker’s Compensation Claims Examiner Location: Spring Valley, NY - 10977 Position: Full Time + 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: Bachelor's 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 problem-solve and use good judgment. Self-motivated 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. 5-7 years experience as a Workers Comp loss time claim adjuster. Job Type: Full-time Pay: $90,130.00 - $110,986.00 per year Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Retirement plan Tuition reimbursement Vision insurance Schedule: Day shift Experience: workers' compensation claims in multiple jurisdictions: 3 years (Required) License/Certification: CPCU, ARM, CRM, or similar preferred (Required) Work Location: In person