Workers Compensation Claims Associate

3 weeks ago

Fresh Meadows, United States Joint Industry Board of the Electrical Industry Full time

**Job Title**: Claims Associate (Workers Compensation)

**Rate of Pay**: $67,780.57 ($1,203.76 weekly+ $99.71 weekly FICA reimbursement)

**Department**: EESISP

**Location**: On-site Fresh Meadows, NY

**SUMMARY**:
The Joint Industry Board of the Electrical Industry (JIB) was established in 1943 by the International Brotherhood of Electrical Workers, Local Union No. 3 and employers affiliated with the National Electrical Contractors Association. Its mission is to promote harmony between employees and employers, administer benefits for members and their families and improve competitiveness through progressive management, education, training, and technology.

**JOB DESCRIPTION**

Reporting to the Supervisor, under close supervision, the Claims Associate ‘B’ Grade 8 will perform various duties including but not limited to:

- Review of electrical industry workers' compensation claims and determine compensability.
- File all required workers compensation forms timely.
- Oversee medical management and investigations of claims.
- Calculate payroll and compensation payments based on set guidelines.
- Serve as liaison and interface with Magna Comp nurse and claimant as part of the review process.
- Assign cases for investigations and review progress.
- Prepare workers compensation claims for long-term disability.
- Ability to evaluate the degree of disability and scheduled loss value.
- Maintains a professional relationship with all appropriate parties involved with the claim.
- Refers cases as appropriate to management.
- Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
- Develops and manages claims through well-developed action plans; continues to work on the action plan to bring the claim to an appropriate and timely resolution.
- Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
- Communicate with Local 3 Business representatives regarding claims management.
- Perform other duties and special assignments as necessary.

**Work Environment**

This job operates in a professional office -- customer service environment. This role routinely uses standard office equipment such as desktop computers, phone, scanner, printer, keyboard, photocopiers, shredder, and fax.

**Physical Demands**

Sedentary work environment with physical demands described are representative of those that must be met by an employee to successfully perform the functions of this job. This would require the ability to lift files, pull files/forms/books, stand, bending, shred documents, open/close filing cabinets as necessary.

**Position Type/Expected Hours of Work**

This is a full-time onsite 35 hours per week
- Non-Exempt (OPEIU Local 153) position. Days and hours of work are Monday through Friday 8:30AM-4:30 PM.

Flexibility: Must be able to work overtime when necessary.

**Travel**

No travel is expected for this position.

**Required Experience, Skills, and Qualifications**
- A four-year college degree required.
- A minimum of 3 years of experience as a workers’ compensation examiner required.
- Extensive knowledge of NYS Disability and Worker’s Compensation laws.
- Excellent interpersonal, organizational, and communication skills.
- Working knowledge of Microsoft Word & Excel.
- Must be able to work independently and collectively.
- Familiarity with claim reserve.
- Must possess the ability to make sound judgments.
- Strict confidentiality.

**Other Duties/Special Projects**

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

**Reasonable Accommodations Statement **To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable _qualified_ individuals with disabilities to perform the essential functions.

**HIPAA Compliance Required**

Pay: $67,780.57 per year

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Retirement plan
- Vision insurance

Schedule:

- Day shift
- Monday to Friday
- No weekends

Work setting:

- In-person
- Office

Application Question(s):

- Are you familiar with Claim Reserve?

**Education**:

- Bachelor's (required)

**Experience**:

- Workers Compensation Examiner: 3 years (required)
- NYS Disability: 3 years (required)
- Workers' compensation law: 3 years (required)

Work Location: In person

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