Workers' Compensation Medical Only Representative (entry-level; hybrid)
3.
3 New Hartford, NY New Hartford, NY Full-time Full-time $35,200 - $52,800 a year $35,200 - $52,800 a year 9 days ago 9 days ago 9 days ago The Company At Utica National Insurance Group, over 1,300 employees countrywide take our corporate promise to heart every day:
To make people feel secure, appreciated, and respected.
While we had humble beginnings in 1914, today the Utica National Insurance Group is an A rated $1.
4B award-winning, nationally recognized organization providing personal and commercial property & casualty insurance products and services.
Our Mission is to continually meet the needs of our policyholders, agent/customers and employees resulting in sustainable profitable growth in an increasingly competitive marketplace.
We are proud to sell our products through more than 2,200 independent insurance agents around the country as we have been since 1928.
These agents provide their clients with valuable insight and resources.
And, as the second-largest insurer of Agents' Errors and Omissions (E&O) business in the United States, we insure many of the agents who work with our policyholders.
Our purpose is to make people feel secure, appreciated, and respected.
These Values define the character of our employees.
They personify Utica National - describing what it means to be Utica National and how we approach doing business.
Together, with our agents, we are committed to providing our mutual policyholders with valuable services and products to help them feel secure.
This is a hybrid position reporting to our New Hartford, NY location.
There is a minimum of 3 days/month spent in-office after the initial onboarding and training period.
Essential Functions:
Receive and set up claims assignments from the insured First Notice of Loss reports.
Review incoming loss notices and assign accordingly to claim representatives within the unit or send to the appropriate regional claim office.
Investigate first party, low severity Workers' Compensation medical claims.
Confirm compensability & coverage Communicate directly with the insured's, medical providers, agents, and vendors by telephone and in writing.
Review and approve medical treatments and associated medical bills.
Maintain strict diary on all active files.
Follow directives and instructions from Claims Supervisors and superiors.
Adhere to the WC Claims Best Practices, Workers' Compensation statutes, bulletins, and attend company training classes.
Provide exceptional customer service.
Adhere to mandated state regulations.
Operate within a rules-based environment with a strong customer satisfaction emphasis.
Perform other tasks as assigned by management in relation to daily operations.
Monitor and update Medicare reporting.
Education:
College degree or equivalent experience preferred.
Experience:
1-2 years of previous claims experience preferred but not required; professional customer service experience is beneficial.
Licensing:
Required to obtain state licensing after hire for file handling.
Salary range:
$35,200 - $52,800 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.
Benefits:
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities.
We offer a Comprehensive Benefits Plan for full time employees that include the following:
Medical and Prescription Drug Benefit Dental Benefit Vision Benefit Life Insurance and Disability Benefits 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) Health Savings Account (HSA) Flexible Spending Accounts Tuition Assistance, Training, and Professional Designations Company-Paid Family Leave Adoption/Surrogacy Assistance Benefit Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance Student Loan Refinancing Services Care.
com Membership with Back-up Care, Senior Solutions Business Travel Accident Insurance Matching Gifts program Paid Volunteer Day Employee Referral Award Program Wellness programs Additional Information:
This position is a full time hourly, non-exempt (overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of.
Once you complete your application, you can monitor your status in the hiring process by logging into your profile.
A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
3 New Hartford, NY New Hartford, NY Full-time Full-time $35,200 - $52,800 a year $35,200 - $52,800 a year 9 days ago 9 days ago 9 days ago The Company At Utica National Insurance Group, over 1,300 employees countrywide take our corporate promise to heart every day:
To make people feel secure, appreciated, and respected.
While we had humble beginnings in 1914, today the Utica National Insurance Group is an A rated $1.
4B award-winning, nationally recognized organization providing personal and commercial property & casualty insurance products and services.
Our Mission is to continually meet the needs of our policyholders, agent/customers and employees resulting in sustainable profitable growth in an increasingly competitive marketplace.
We are proud to sell our products through more than 2,200 independent insurance agents around the country as we have been since 1928.
These agents provide their clients with valuable insight and resources.
And, as the second-largest insurer of Agents' Errors and Omissions (E&O) business in the United States, we insure many of the agents who work with our policyholders.
Our purpose is to make people feel secure, appreciated, and respected.
These Values define the character of our employees.
They personify Utica National - describing what it means to be Utica National and how we approach doing business.
Together, with our agents, we are committed to providing our mutual policyholders with valuable services and products to help them feel secure.
This is a hybrid position reporting to our New Hartford, NY location.
There is a minimum of 3 days/month spent in-office after the initial onboarding and training period.
Essential Functions:
Receive and set up claims assignments from the insured First Notice of Loss reports.
Review incoming loss notices and assign accordingly to claim representatives within the unit or send to the appropriate regional claim office.
Investigate first party, low severity Workers' Compensation medical claims.
Confirm compensability & coverage Communicate directly with the insured's, medical providers, agents, and vendors by telephone and in writing.
Review and approve medical treatments and associated medical bills.
Maintain strict diary on all active files.
Follow directives and instructions from Claims Supervisors and superiors.
Adhere to the WC Claims Best Practices, Workers' Compensation statutes, bulletins, and attend company training classes.
Provide exceptional customer service.
Adhere to mandated state regulations.
Operate within a rules-based environment with a strong customer satisfaction emphasis.
Perform other tasks as assigned by management in relation to daily operations.
Monitor and update Medicare reporting.
Education:
College degree or equivalent experience preferred.
Experience:
1-2 years of previous claims experience preferred but not required; professional customer service experience is beneficial.
Licensing:
Required to obtain state licensing after hire for file handling.
Salary range:
$35,200 - $52,800 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.
Benefits:
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities.
We offer a Comprehensive Benefits Plan for full time employees that include the following:
Medical and Prescription Drug Benefit Dental Benefit Vision Benefit Life Insurance and Disability Benefits 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) Health Savings Account (HSA) Flexible Spending Accounts Tuition Assistance, Training, and Professional Designations Company-Paid Family Leave Adoption/Surrogacy Assistance Benefit Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance Student Loan Refinancing Services Care.
com Membership with Back-up Care, Senior Solutions Business Travel Accident Insurance Matching Gifts program Paid Volunteer Day Employee Referral Award Program Wellness programs Additional Information:
This position is a full time hourly, non-exempt (overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of.
Once you complete your application, you can monitor your status in the hiring process by logging into your profile.
A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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