Workers Compensation Claims Examiner for NE STATES - Must have Carrier Experience in MA, CT, RI,

About us:

AACA Employment has been specializing in the recruitment and placement of Insurance Professionals since 1995. Since its inception our agency has focused our energies and resources exclusively on the insurance industry. We work with only the most desirable Agencies and Companies in New England. These employers provide comprehensive compensation and benefit plans and secure, rewarding work environments.
With actual experience working in the insurance industry, our staff understands the needs of our clients and the abilities of our candidates. We are able to utilize the most modern technology to track and match available positions and candidates while still adhering to the old fashion "people skills" to get to know the people and positions we are matching.

 

We currently represent a large regional Property and Casualty Insurance Company seeking an experienced Workers Compensation Examiner.

 

Our Client is a National Insurance company with a regional branch in New York City.

 

The territory serviced by this position encompasses MA, RI, CT, NH, and possibly some NJ.

The candidate we are seeking must have experience adjusting Workers Compensation Claims in some or all of these states.

 

Your responsibilities will be to investigate, evaluate and settle Workers Compensation Claims within authority granted.

 

Job Duties:



 

1)  Investigates, evaluates and settles Workers Compensation claims within authority granted

2)  Evaluates applicable policy contracts in claims and determines the covered loss.

3)  Evaluates all claims in relation to policy contracts, case law, statutory law, DOI regulations and similar standards applicable to claims within the territory.

4)  Establishes and continually monitors claim reserves for the purpose of contributing to the company’s ability to determine its financial position and assessment of rating structure.

5)  Maintains well-documented claim files and reports consistent with company policy.

6)  Maintains communication with insureds, claimants, agents, Branch Office and Home Office personnel.

7)  Continual cognizance of potential claims fraud and reports suspected cases to Branch Claims Manager.

 

Qualifications:



 

1)  Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.

2)  Understanding of legal concepts in civil, tort and contract law.

3)  Ability to interpret routine and complex policy contracts

4)  Demonstrates sound analytical skills.

5)  Ability to negotiate effectively.

6)  Ability to communicate effectively orally and in written form.

7)  Must maintain a current driver’s license in state of employment. 

8)  Ability to work effectively with company personnel, agency personnel, legal counsel, and others with whom our business is associated.

9)  Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines.

10)  Ability to identify potential sources of subrogation and /or recovery

11)  Understanding of fundamental medical terminology and ability identify potential issues of treatment in relation to a particular occurrence.

 

Education and Experience:



 

1)  College degree or equivalent experience and/or professional designations.

2)  Two (2) years of Workers Compensation claims adjusting experience demonstrating progressive levels of responsibility.

 

 Confidentiality is Key

Keeping in mind that although we work in a large industry we still all deal in a relatively small "close knit insurance community" it is essential that your search for a new position be done in a professional, efficient, and most importantly "strictly confidential" manner. We will review potential positions with you prior to making contact, so that you can have input and an understanding of what's available and with whom. All inquiries are kept in STRICT ConfidenceIt's Your Call....

For a confidential interview to see if we may be able to assist you in a job search for a new position, please call or email our office today.

David E Gesner, CIC
(Toll Free) 866-597-9100 ext 303
daveg@aacaemployment.com

Apply directly via e-mail (attach your resume): jobs@aacaemployment.com Visit our web site

To see a more comprehensive list of positions we have available and the services we provide, please visit our web site at:

www.aacaemployment.comAll fees are Employer paid
Serving Massachusetts, Rhode Island, and New Hampshire