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SalaryBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York.
The Adjuster position will manage Workers’ Compensation claims within specific limits and authority.
Responsibilities:
- Investigate and gather information to determine compensability by conducting three-point contact interviews with the employer, claimant, and healthcare provider.
- Secure and file necessary documents, including FROI & SROI forms with the NYS Workers’ Compensation Board, claimant, and claimant’s attorney.
- Establish reserves, authorize payments & treatment within the NYS Medical Treatment Guidelines, under set authority.
- Examine and authorize payment of medical bills.
- Recognize and refer cases when IMEs are indicated.
- Prepare and instruct counsel to defend our interests for hearings at the NYS WC Board.
- Respond to written and telephone inquiries from claimants, clients, attorneys, doctors & vendors.
- Establish proper cost containment techniques, vendor referrals, recoveries & strategic case planning.
- Recognize cases that meet the criteria for reporting to the Excess Carrier.
- Negotiate settlements.
- Control the disposition of the claim process from investigation to settlement.
Position Requirements:
- Exceptional telephone demeanor.
- Ability to maintain a high level of confidentiality.
- Prior experience in adjusting New York State workers’ Compensation Claims.
- New York State License is required or obtained within 6 months of employment.
- Planning/organizing—the individual prioritizes and plans work activities and uses time efficiently.
- Interpersonal skills—the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things.
- Oral communication—the individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills.
- Written communication—the individual edits work for spelling and grammar, presents numerical data effectively and can read and interpret written information.
- Problem solving—the individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
- Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
- Adaptability—the individual adapts to changes in the work environment, manages competing demands and can deal with frequent change, delays or unexpected events.
- Safety and security—the individual observes safety and security procedures and uses equipment and materials properly.
What We Offer
- Excellent growth and advancement opportunities
- Competitive pay based on experience
- Ability to work remotely
- Paid Time Off
- Generous benefits package: health, dental, vision, 401(k), and many additional benefits
- Employee Stock Purchase Plan
- Salary Range: $80,000 - $91,500
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
