Find Jobs
Find Jobs Near You – Available Work in Your Location
Skip to job details
JI
JOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY
Active Indemnity Examiner
Career Insights for Claims Examiner (General)
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on New York data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$85,722 / year median in New York
-0% projected decline
Job Description
Active Indemnity Examiner at
Refers cases as appropriate to management. Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolutionAnalyzes and processes workers compensation claims by investigating and gathering information to determine the exposure on the claimCommunicate with Local 3 Business representative regarding claims management.
Knowledge and ability to evaluate and reserve claims appropriately at outset and revise timely as claim develops.
Perform other duties and special assignments as necessary Work Environment We thrive to provide a supportive and collaborative environment. We are employee- focused emphasizing mutual respect a strong sense of community and a positive team culture. We offer a healthy work-life balances and a desirable work environment with a diverse workforce. This job operates in a professional office -- customer service environment. This role routinely uses standard office equipment such as desktop computers, phone, scanner, printer, keyboard, photocopiers, shredder, and fax. Physical Demands Sedentary work environment with physical demands described are representative of those that must be met by an employee to successfully perform the functions of this job. This would require the ability to lift files, pull files/forms/books, stand, bending, shred documents, open/close filing cabinets as necessary. Position Type/Expected Hours of Work This is a full-time onsite 35 hours per week Non-Exempt (OPEIU Local 153) position. Days and hours of work are Monday through Friday 8:30AM-4:30PM.
JOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY
Active Indemnity Examiner atJOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY
in Flushing, New York Posted in 15 days ago.Type:
Full-Time Job Description:
Title:
Active Indemnity Examiner Grade:
9 (OPEIU L153)Rate of Pay:
$77,384.92 per year (weekly $1,374.33, plus $113.84 FICA reimbursement)FLSA Status:
Non-Exempt Employer:
Joint Industry Board of theElectrical Industry Department:
EESISP Reports to:EESISP Supervisors Location:
Flushing, NY 11365Vacancy:
1 JOBDESCRIPTION
Reporting to the Supervisor, under general supervision, the Active Indemnity Examiner, Grade 9 will perform various duties including but not limited to: Manage case load of active workers compensation indemnity claimsReview of electrical industry workers compensation claims and determine compensability File all required workers compensation forms timely Oversee medical management and investigations of claimsCalculate payroll and compensation payment based on set guidelinesServe as liaison and interface with Magna Comp nurse and claimant as part of the review processAssign cases for investigations and review progressPrepare workers compensation claim for long-term disabilityAbility to evaluate the degree of disability and scheduled loss value and loss of wage-earning capacity Maintains professional relationship with all appropriate parties involved with the claim.Refers cases as appropriate to management. Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolutionAnalyzes and processes workers compensation claims by investigating and gathering information to determine the exposure on the claimCommunicate with Local 3 Business representative regarding claims management.
Knowledge and ability to evaluate and reserve claims appropriately at outset and revise timely as claim develops.
Perform other duties and special assignments as necessary Work Environment We thrive to provide a supportive and collaborative environment. We are employee- focused emphasizing mutual respect a strong sense of community and a positive team culture. We offer a healthy work-life balances and a desirable work environment with a diverse workforce. This job operates in a professional office -- customer service environment. This role routinely uses standard office equipment such as desktop computers, phone, scanner, printer, keyboard, photocopiers, shredder, and fax. Physical Demands Sedentary work environment with physical demands described are representative of those that must be met by an employee to successfully perform the functions of this job. This would require the ability to lift files, pull files/forms/books, stand, bending, shred documents, open/close filing cabinets as necessary. Position Type/Expected Hours of Work This is a full-time onsite 35 hours per week Non-Exempt (OPEIU Local 153) position. Days and hours of work are Monday through Friday 8:30AM-4:30PM.