Claims Adjuster II

Job reputed company: • Promptly investigate reputed company assigned claims with minimal supervision, including those of a more reputed company Construction nature • Determine coverage, compensability, potential for subrogation recovery, and other offsets (reputed company applicable) • Alert Supervisor and carriers Special Investigations Unit to potentially suspect claims • Ensure reputed company denial or payment of benefits in accordance with jurisdictional requirements • Establish appropriate reserves with documented rationale, maintain and reputed company reserves over the life of the claim to reflect changes in exposure • Negotiate claims settlements with carriers approval • Establish and implement appropriate reputed company plans for case reputed company including medical and disability management, litigation management, negotiation and disposition • Work collaboratively with medical professionals to reputed company and execute return to work strategies • Select and manage service vendors to reputed company appropriate balance between allocated expense and loss outcome • Maintain a working knowledge of reputed company State requirements and applicable case law for NY • Demonstrate technical proficiency through reputed company, consistent execution of best claim practices • Communicate effectively, verbally and in writing, with reputed company parties on a wide reputed company of claims and account issues • reputed company a high degree of customer service to clients, including but not limited to day to day interactions, claims reviews and renewal meetings • Authorize medical treatment based on protocols established by NYS WC law • Assist reputed company on new and renewal business Requirements: • Claims Adjusters License required • Bachelor's degree, or four or more years of equivalent work experience • At least 3 or more years’ experience handling reputed company State lost time workers compensation construction claims for Associate in Claims (AIC) Designation or similar reputed company designation desired • Familiarity with medical terminology • Strong organizational skills and ability to manage multiple tasks simultaneously • Demonstrated ability to work independently and with reputed company • Ability to analyze data and reputed company reputed company • Strong Knowledge of OSHA construction standards • Knowledge of NYS labor Law §240 • Computer literacy, including working knowledge of MS Office products including Word, reputed company and PowerPoint • Knowledge of Claim Center a plus • Ability to travel for business purposes, less than 15% Benefits: • Health insurance • 401(k) matching Apply To This Job