Workers' Compensation Claims Manager

6 days ago


Syracuse, New York, United States Swoon Full time

Job Title: Workers' Compensation Team Lead

Job Summary:

Swoon's Claims Management client is seeking a skilled Workers' Compensation Team Lead to lead the team in resolving complex and difficult cases. The ideal candidate will have strong negotiation skills and experience in managing claims through well-developed action plans.

Key Responsibilities:

  • Analyze and process complex workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
  • Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets.
  • Calculate and pay benefits due, approve and make timely claim payments and adjustments, and settle claims within designated authority level.
  • Manage the litigation process to ensure timely and cost-effective claims resolution.

Requirements:

  • Bachelor's Degree or accredited university degree.
  • Valid NY Adjusters' License.
  • 3+ years of relevant WC experience.
  • Strong negotiation skills and ability to work with Microsoft Office products.

About Swoon:

Swoon is a leading provider of claims management services. We are committed to delivering exceptional results and building long-term relationships with our clients.



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