Company Overview
Brown & Brown is an independent insurance intermediary that through its licensed subsidiaries provides a variety of insurance products and services to corporate, public entity, institutional, trade, professional, association and individual clients. Headquartered in Daytona Beach, Florida, offices are located across the United States, with products and services offered through four major business divisions. We are listed on the NYSE as BRO. Our corporate culture is built on vision, speed, agility and strength that allows us to thrive in the very competitive insurance environment. This unique culture has enabled us to quickly chase down new opportunities, adapt our products and services to best meet market demands, and satisfy our many and varied clients. Our drive to be the best has made Brown & Brown one of the largest and most respected independent insurance intermediaries in the nation, with 75 years of continuous service.
Job Overview
Claims Adjuster - Workers Compensation (Medical) - Uniondale, NY
Wright Specialty Ins. Agency, LLC is currently seeking a claims adjuster to join its team in Uniondale, NY, to manage and process workers' compensation medial claims with high exposure and complexity within specific limits and authority.
Responsibilities:
- Investigate and gather information to determine compensability by conducting two point contact interviews with the employer and healthcare provider
- Secure and file necessary documents including FROI forms with the NYS Workers’ Compensation Board, claimant and claimant’s attorney
- Establish medical reserves, authorize payments & treatment within the NYS Medical Treatment Guidelines, under set authority
- Examine and authorize payment of medical bills
- Recognize when IME’s are indicated and refer file to appropriate vendor
- Respond to written and telephone inquiries from claimants, clients, attorneys, doctors & vendors
- Establish proper cost containment techniques
- Recognize cases that meet the criteria for transfer of the case to a Lost Time Adjuster, including referral of case to Team Leader
- Control the disposition of the claim process & close files upon completion of all file tasks
Requirements:
- Prior experience in adjusting New York State workers’ compensation claims
- New York State License is required or obtained within 6 months of employment
Preferred:
- Associates degree
We are an Equal Opportunity Employer.
We take pride in the diversity of our team and seek diversity in our applicants.