Top 13 Adjuster Jobs in Utica, Ny

Workers' Compensation Enhanced Medical Only Representative
Utica Mutual Insurance Company —New Hartford, NY
- $46,000 - $53,500 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
- Profit sharing
- Health savings account
Quick Apply
Commercial Property Claims Supervisor
Utica Mutual Insurance Company —New Hartford, NY
- $93,100 - $136,400 a year
- Full-time
- Mid-level
- Office
- 3 years
- Profit sharing
- Health savings account
Quick Apply
Auto Claims Adjuster- Spanish Speaking
AMERICAN FREEDOM INSURANCE —United States
- $50,000 - $70,000 a year
- Monday to Friday
- Spanish
- English
- Mid-level
- Paid training
- Health savings account
Quick Apply
1d
Senior General Liability Adjuster
TheBest Claims Solutions —United States
- $100,000 - $115,000 a year
- Remote
- 5 years
- Bachelor's degree
- Senior level
9d

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Commercial Property Claims Supervisor
Utica Mutual Insurance Company —New Hartford, NY
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Manage follow-up procedures on all active claims -…
$93,100 - $136,400 a year
Quick Apply
Manager Of Underwriting
Utica First Insurance Company —Oriskany, NY
Bachelor’s degree in Business, Finance, Risk Management, or related field (or equivalent experience). Analyze trends, profitability, and loss drivers to…
$110,000 - $130,000 a year
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Claims Analyst - REMOTE
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On-going interaction with field and operations management, legal counsel, safety managers, customers, insurance carriers, and third party claimants.
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Workers' Compensation Enhanced Medical Only Representative

Utica Mutual Insurance Company -
New Hartford, NY

Quick Apply

Job Details

Full-time
$46,000 - $53,500 a year

Benefits

Profit sharing
Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Matching gift program
Tuition reimbursement
Adoption assistance
Family leave
Vision insurance
Life insurance
Pet insurance

Qualifications

Medicare
Phone communication
Insurance dispute resolution
Writing skills
Claims negotiation
Mid-level
Workers' compensation insurance knowledge
Medicare regulations
Policy verification in claims processing
Insurance investigations
Bodily injury claims
Task assignment
Communication skills
Under 1 year
Client interaction via phone calls

Full Job Description

The Company

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.

Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier.

Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte.

This is a hybrid position reporting to our Charlotte, NC or New Hartford, NY location.

What you will do

The Enhanced Medical Only (EMO) role is a workers' compensation claims representative position. You will be responsible for handling low complexity claims that are first party and classified as medical only. In this position, you will use skills in investigation, evaluation, and negotiation to resolve claims. Communication skills will also be applied to correspond in writing and over the phone with individuals including injured workers, insureds, agents, vendors, team members, and defense counsel. The EMO role is an important step to building knowledge and skills and may support room for future growth and career pathing potential within the Workers' Compensation Department!

Key responsibilities

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.

What you need

College degree or equivalent experience preferred.
1-2 years of previous claims experience preferred but not required; professional customer service experience is beneficial.

Licensing

Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.

Salary range: $46,000 - $53,500

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
Personal insurance discount

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.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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adjuster jobs in utica, ny

Workers' Compensation Enhanced Medical Only Representative

Commercial Property Claims Supervisor

Auto Claims Adjuster- Spanish Speaking

Senior General Liability Adjuster

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