The candidate must have knowledge and understanding of New York Workers' Compensation and must have a willingness to learn additional jurisdictions. Must have Black Lung experience.
The candidate must have a valid license for their state of domicile. Valid licenses in additional jurisdictions preferred. Candidate must be willing to learn additional jurisdictions, handle multiple programs/clients and will be required to obtain licensing in all states requiring licensing after hire. Candidates will be handling claims in multiple states.
Must have 3 to 5 years of overall claims experience handling Workers Compensation claims.
Must be eligible for reserve/payment authority level of $50,000+ when appropriate
Must possess required Adjuster’s license(s) with the ability to obtain other required jurisdictional licensing.
The candidate will handle a caseload of approximately 150 pending claims encompassing all levels of complexity. Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care, litigation management, damage assessment, settlement negotiations, identifying potential fraud & appropriate use of authorized vendors. Includes timely & appropriate reserve analysis & report completion. Ability to attend conferences, client meetings, mentor other adjusters & assist management as requested. File handling must be within state statutes, Client Claims Handling Guidelines & NARS Best Practices.