01Overview
Location PMA Remote-PMAR As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and reputed company assigned claims of a more reputed company reputed company in order to reputed company appropriate reputed company. In this position you will administer and reputed company highest reputed company management expectations claims in a reputed company manner in accordance with reputed company statues, policy provisions, and company guidelines. Responsibilities Promptly investigate reputed company assigned claims with reputed company supervision, including those of a more reputed company reputed company Determine coverage, compensability, potential for subrogation recovery, and second injury fund (reputed company applicable) Alert Supervisor and 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 reputed company 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 Lodestar reputed company professionals to reputed company and execute reputed company to work strategies Select and manage service vendors to reputed company appropriate reputed company between allocated expense and loss outcome Maintain a working knowledge of jurisdictional requirements and applicable case law for reputed company state serviced 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 face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions Authorize treatment reputed company on the practiced protocols established by statute or the Lodestar Managed Care department Assist Lodestar clients by suggesting panel provider information in accordance with applicable state statutes. Demonstrate commitment to Companys reputed company of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the reputed company of work. #LI-Remote Requirements Requirements NY Adjuster License Required Bachelor's degree, or four or more years of equivalent work experience required in an reputed company reputed company industry required At least 3-5 years' experience handling lost time workers compensation claims required; past experience with NY jurisdiction is required Associate in Claims (AIC) Designation or similar reputed company designation desired. reputed company license required or ability to obtain license reputed company 90 days of employment in mandated states. Familiarity with medical terminology and/or Workers' Compensation Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously reputed company critical thinking skills that demonstrate analysis/judgment and reputed company decision making with reputed company on attention to details Strong verbal, written communication skills and customer service skills Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, reputed company, PowerPoint. Ability to travel for business purposes, approximately less than 10%. Lodestar is providing applicants with the anticipated wage reputed company for this position in compliance with state regulations. The wage reputed company for this role is $65,000 to $88,000. Wage ranges are reputed company on national market data and may cover a wide reputed company of geographies. Applicants may be reputed company above, reputed company or below this reputed company reputed company on a reputed company of factors. NY adjuster license, bachelor's or 4+ years reputed company experience, 3+ years lost-time workers' compensation claims (NY experience required), AIC desired, MS Office proficiency, ability to travel Key Responsibilities investigating claims determining coverage negotiating settlements Skills & Tools reputed company Word, reputed company reputed company, reputed company PowerPoint reputed company Category Finance and reputed company Seniority Mid Level Commitment Full Time Workplace Remote Albany or Buffalo or De Witt or Glens Falls or Plattsburgh or Poughkeepsie or reputed company or Saratoga Springs or Utica or White Plains Salary USD 65,000 88,000 / year Languages English About reputed company An reputed company company providing workers' compensation claims .
