Workers Comp Claim Specialist (New York Platform)

Job Description

About Acrisure:

Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.

Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.

Job Summary:

As a NY Workers Compensation Claim Specialist, you will be responsible for working with clients to review and process insurance claims. The NY Workers Compensation Claim Specialist will need to demonstrate a working knowledge of NYS WC law and statutory requirements. Use this information to create optimum outcomes for the safety group, the injured worker, and the employer. The NY Workers Compensation Claim Specialist will gather documents used to investigate claims, review documentation, and work with clients and the Carrier to determine the validity and compensability of claims. Additionally, the NY Workers Compensation Claim Specialist will be responsible for providing guidance and advice to clients on the claims process and working with insurance companies to manage and resolve claims.

Key Responsibilities:

• Demonstrate a working knowledge of NYS WC law and statutory requirements.

• Review and evaluate NY workers compensation claims for clients

• Gather information used to investigation and determine validity

• Able to calculate and recommend changes to reserves to reflect ultimate cost

• Negotiate/evaluate settlements with insurance companies on behalf of clients

• Knowledge of early return to work programs and 3rd party recovery opportunities.

• Provide advice and guidance to clients on the NY Workers Comp claims process

• Review and analyze trend data to identify potential trends and reserve inadequacies

• Understand how the experience modification rating impacts policies

• Provide exceptional customer service to clients

• Deliver clear and concise presentations on claims and insurance matters

• Foster and maintain an excellent working relationship with the NYSIF case managers, unit managers and business managers in each branch office.

Qualifications:

• Minimum of 5 years of experience in NY workers compensation claims processing or related field

• Strong customer service and presentation skills

• Strong computer skills and proficiency in the use of claims management software

• Strong investigative and analytical skills

• Excellent communication and negotiation skills

• Strong attention to detail and ability to work in a fast-paced environment.

If you have a passion for helping clients navigate the claims process, and have strong customer service and presentation skills, we would love to hear from you.

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Pay Details:

Annual Salary: $75,000 - $85,000

Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant.

Acrisure is equally committed to supporting social issues. In 2021, the Company co-founded Evolution Advisors, a joint venture focused on providing greater access and more effectively distributing insurance products and financial services to minority-owned enterprises. In its home of Grand Rapids, Acrisure provided $15 million to create the Acrisure Center for Innovation in Children's Health at Helen DeVos Children's Hospital.

To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure's property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure's Human Resources Talent Department.