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Workers' Compensation Claims - Senior OR Specialist II (Primarily NY) jobs in United States
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Utica National Insurance Group · 14 hours ago

Workers' Compensation Claims - Senior OR Specialist II (Primarily NY)

Utica National Insurance Group is a nationally recognized property & casualty insurance carrier with 1,400 employees. They are seeking a Claims Specialist II or Senior Claims Specialist to handle Workers' Compensation Lost Time claims, utilizing customer service and investigative skills to resolve claims primarily in New York jurisdictions.
Insurance

Responsibilities

Investigate, evaluate and resolve primarily New York Workers' Compensation Lost Time claims with either low to moderate complexity (Claims Specialist II) OR claims with a higher complexity and more serious nature (Senior Claims Specialist)
Handle less complex litigated files and maintain contact with attorneys concerning serious claim matters to direct defense counsel in the resolution of claim
Performing special claims investigation and handling matters requiring broad technical claims knowledge
Operate on a more independent basis with little supervision
Settle claims within assigned authority
Review court decisions; make legal and coverage interpretations
Maintain broad knowledge and understanding of the law and claim practices
Provide technical support for less experienced specialists as needed
May assume duties of the Claims Supervisor in the Supervisor's absence
Perform other tasks as assigned

Qualification

Workers' Compensation experienceClaims investigation skillsNew York jurisdictions knowledgeInsurance claims experienceCustomer service skillsDetail orientationTechnical support skillsDecision making skills

Required

Four year degree or equivalent experience required
2-4 years of insurance claims experience required with workers' compensation experience for Claims Specialist II
3-4+ years insurance claims experience required with workers' compensation experience for Senior Claims Specialist
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims

Preferred

Four year degree or equivalent experience preferred for Claims Specialist II
Experience with New York jurisdictions strongly preferred for Senior Claims Specialist

Benefits

Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
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
Personal insurance discount

Company

Utica National Insurance Group

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Utica National Insurance Group is a Top 100, nationally recognized insurer providing personal and commercial insurance products and services, with the second-largest errors and omissions business in the United States.

Funding

Current Stage
Late Stage

Leadership Team

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Kristen Martin
President and Chief Operating Officer
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John Eckmair
Senior Vice President, Chief Underwriting Officer
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Company data provided by crunchbase