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Workers' Compensation Claims Specialist
Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Workers' Compensation Claims Specialist to their Durnan Group in Rockville Centre, NY.
The Workers' Compensation Claims Specialist supports the Vice President of Risk Management by receiving and processing incoming workers’ compensation claims, assisting with overall claims management, and handling related communications throughout the process.
This role will be working on-site at our Rockville Centre, NY office 5 days a week.
Essential Functions:
- Responsible for managing data extraction regarding potential claims from multiple sources (email, fax, etc.)
- Examine and evaluate claims for denial, subrogation and possible fraud
- Enter claims in system; review claims, update/correct information in system
- Assist in maintaining all medical documentation and records regarding workers’ compensation cases
- Support communication with clients, adjusters, employees, and providers (4-point contact)
- Report new claims to carrier and VP of Risk Management
- Manage correspondence; answer emails and phone calls, note files
- Participate in claims reviews with client representatives when needed
- Ensure all claimants complete all necessary paperwork regarding claim case, i.e. incident report, medical release form, LD forms and special programs are being carried out initially
- Provide VP of Risk Management with weekly/monthly overview and assurances that all services have been effective
Competencies & Qualifications:
- Proficient in Microsoft Office
- Knowledge of insurance related laws and medical/legal terminology
- Strong communication and interpersonal skills across various levels of an organization
- Excellent organizational skills and a sharp eye for detail
- Tact, discretion and professionalism when handling confidential information
- Ability to manage multiple tasks and prioritize effectively
Education & Experience:
- 2+ years of experience in the insurance industry preferred
- Associates degree preferred or equivalent experience
This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.
Pay Transparency Range
$65,000 - $80,000 USD
Disclaimer:
While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.
Equal Employment Opportunity (EEO):
FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.
Benefits:
FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
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