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Senior Workers Compensation Claim Specialist

MEMIC
New York, USA
Senior · 3+ years experience
Onsite
Discovered 3 days ago
Communication

Full Job Posting

What You Bring

  • 3+ years of Lost Time Claim handling experience in New York
  • Strong knowledge of workers’ compensation claims and jurisdictional compliance.
  • Excellent verbal and written communication skills.
  • Must be adaptable and have the ability to manage time and priorities effectively.
  • Strong attention to detail and organizational skills.
  • Strong team player with excellent customer service skills.
  • MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. Additionally, we are committed to providing an inclusive and accessible recruitment experience for all candidates. If you need a reasonable accommodation during the interview process, please contact us at [email protected].
  • To ensure an equitable and authentic interview process, candidates should not use AI or chatbot tools during the live interview or phone screen. We welcome any preparation you choose to do beforehand, but all responses shared during the interview must be your own.
  • Note: MEMIC does not offer Stem-OPT EAD Extension for this role.
  • MEMIC's Job Applicant Privacy Notice
  • Check out our benefit offerings here! Targeted salary range: $90,000-$110,000

Qualifications

  • 3+ years of Lost Time Claim handling experience in New York
  • Strong knowledge of workers’ compensation claims and jurisdictional compliance.
  • Excellent verbal and written communication skills.
  • Must be adaptable and have the ability to manage time and priorities effectively.
  • Strong attention to detail and organizational skills.
  • Strong team player with excellent customer service skills.
  • MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. Additionally, we are committed to providing an inclusive and accessible recruitment experience for all candidates. If you need a reasonable accommodation during the interview process, please contact us at [email protected].
  • To ensure an equitable and authentic interview process, candidates should not use AI or chatbot tools during the live interview or phone screen. We welcome any preparation you choose to do beforehand, but all responses shared during the interview must be your own.
  • Note: MEMIC does not offer Stem-OPT EAD Extension for this role.
  • MEMIC's Job Applicant Privacy Notice
  • Check out our benefit offerings here! Targeted salary range: $90,000-$110,000

Responsibilities

  • Claims Management: Investigate, evaluate, and resolve medical-only claims and lost time claims.
  • Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
  • Benefit Delivery: Administer medical and indemnity benefits in compliance with state workers’ compensation statutes and MEMIC’s best practices.
  • Quality Assurance: Maintain organized and high-quality claim files in accordance with company policies and procedures.
  • Managed Care Coordination: Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
  • Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
  • Ongoing Learning: Stay updated on state laws and workers’ compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).

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