Claims Specialist II - Workers Compensation (hybrid)

About the position

The Claims Specialist II at Utica National Insurance Group is responsible for investigating, evaluating, negotiating, and resolving workers' compensation claims primarily in New York and several other states. This role involves handling low to moderate complexity lost time claims, with some exposure to litigated files, and requires strong communication, customer service, and analytical skills to ensure claims are resolved accurately and fairly.

Responsibilities

• Perform all the duties and responsibilities of a Claims Specialist I.
• Investigate, evaluate, negotiate and resolve low to moderate complexity lost time claims.
• Operate more independently and resolve claim files within a higher authority limit.
• Interpret coverage, evaluate damages and negotiate settlements with limited supervisor intervention.
• Handle less complex litigated files; may be required to attend mediation or trials occasionally.
• Direct defense counsel in the resolution of claims.
• Consult with Supervisor on more complex coverage and technical matters.
• Provide technical support for less experienced specialists as needed.
• Perform other tasks as assigned.

Requirements

• Four year degree or equivalent experience preferred.
• 2-4 years of insurance claims experience preferred with workers' compensation experience.
• Proof of licensing required.
• Licensing required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims.

Benefits

• Medical and Prescription Drug Benefit
• Dental Benefit
• Vision Benefit
• Life Insurance and Disability Benefits
• 401(k) Profit Sharing and Investment Plan
• 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