Claims Associate - Workers Compensation (NY Claims) - Syracuse, NY - Hybrid
: Job Details :

To analyze reported lower-level workers compensation claims for NY to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL RESPONSIBILITIES MAY INCLUDE:Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action/processing with claimant, client and appropriate medical contact. Ensures claim files are properly documented and claims coding is correct. May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. Maintains professional client relationships. QUALIFICATIONS AND LICENSING - Education & Experience...Claims, Workers Compensation, Associate, Worker, Compensation, Administrative, Insurance