Worker's Compensation Claims Examiner, Queens Onsite Urgent

SUMMARY:

The Joint Industry Board of the Electrical Industry (JIB) was established in 1943 by the International Brotherhood of Electrical Workers, Local Union No. 3 and employers affiliated with the National Electrical Contractors Association. Its mission is to promote harmony between employees and employers, administer benefits for members and their families and improve competitiveness through progressive management, education, training and technology.

JOB DESCRIPTION

Reporting to the Supervisor, under close supervision, the Worker's Comp Examiner will perform various duties including but not limited to:

· Review of electrical industry workers compensation claims and determine compensability

· File all required workers compensation forms timely

· Oversee medical management and investigations of claims

· Calculate payroll and compensation payment based on set guidelines

· Serve as liaison and interface with Magna Comp nurse and claimant as part of the review process

· Assign cases for investigations and review progress

· Prepare workers compensation claim for long-term disability

· Ability to evaluate the degree of disability and scheduled loss value

· 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 resolution

· Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim

· Communicate with Local 3 Business representative regarding claims management

· Perform other duties and special assignments as necessary

Work Environment

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.

Flexibility: Must be able to work overtime when necessary.

Travel

No travel is expected for this position.

Required Experience, Skills, and Qualifications

· A four-year college degree required

· A minimum of 3 years of experience as workers’ compensation examiner required

· Extensive knowledge of NYS Disability and Worker’s Compensation laws

· Excellent interpersonal, organizational, and communication skills

· Working knowledge of Microsoft Word & Excel

· Must be able to work independently and collectively

· Familiarity with claim reserve

· Must possess the ability to make sound judgment

· Strict confidentiality

SALARY: $1,163.76 per week plus FICA Reimbursement = $1,260.16 per week

BENEFITS:

• 10% of employer contribution to your 401K (before FICA gross up reimbursement) without mandatory matching, vested immediately before.
• Basic Pay FICA reimbursement (Social Security and Medicare Tax reimbursed as weekly added to compensation) = total weekly compensation
• After completing 26 weeks of full-time employment from permanent hire date: Free health, dental, and optical insurance - funded by the employer, NO employee premium. Coverage thru Magna Care PPO (Medical), Express Script for Prescription, DDS/Empire Dental, In addition eligible employee may use JIB Medical P.C.
• Short Term Disability and NYS Long Term Disability
• NYS Paid Family Leave
• Jury Duty and Death in family bereavement days off
• Paid Time Off
• Paid Vacation
• Retirement plan – Defined Pension Plan with vesting and age requirement, fully funded by employer
• Life Insurance

Other Duties/Special Projects

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

HIPAA Compliance Required

Job Type: Full-time

Pay: $65,528.33 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Physical setting:

• Office

Schedule:

• Day shift
• Monday to Friday

Ability to commute/relocate:

• Fresh Meadows, NY 11365: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Required)

Experience:

• Workers' compensation: 3 years (Required)

Work Location: In person