York Risk Services Group
US National – 100% Remote Work
Examiner Claims Workers Compensation II
Remote – U.S.
At York, we believe that an experience marked by expertise, consistency and compassion sets us apart. And we celebrate the diverse backgrounds and unique perspectives that allow us to stand apart from our competitors. That’s why we are committed to recruiting, developing and retaining people who represent our values and who believe in our mission.
Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; manages a caseload of claims from inception to closing or settlement.
Completes 3-point contact on new claims within 24 hours in order to obtain information necessary to make a compensability decision on the claim
Establishes appropriate reserve levels based on financial exposure and updates reserves upon receipt of new information
Directs assistant to properly pay indemnity benefits and Awards. Issue state-mandated benefit notices within the required timeframes
Annotates, categorizes and addresses incoming mail on a daily basis
Responds to questions and requests from the client
Strong proficiency in keyboarding and data entry skills; most time spent in front of a computer entering text with applications.
Must be able to type accurately, enter information into a computerized system
BS / BA or Equivalent Work Experience
3 to 5 years
Ability to prioritize multiple tasks and meet deadlines
Excellent written and verbal skills
Excellent customer service skills
Workers’ Compensation law, policies and procedures
Medical and legal terminology
Integration with Medicare
Customer Service , Insurance , Insurance Claims