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WC CLAIMS MANAGER Job at Hereford Insurance Corp

Hereford Insurance Corp Long Island City, NY 11101

Job Information

  • Date Posted
    2024-06-08
  • Location
    Long Island City, NY 11101
  • Job Title
    WC CLAIMS MANAGER
  • Gender
    Both
Oversee the adjusters, intake unit, medical billing unit, clerks and statistical reporting staff (HCRA, Medicare, SROI/FROI). Ensure and manage complete and timely filings. Coordinate with the team leader and supervisor for coverage on matters as necessary.

Essential Duties & Responsibilities

  • Oversee the filing of forms with the WC Board.

  • Ensure timely payments of claimants’ awards ordered by the WC Board as well as indemnity payments.

  • Ensure the timely processing of bill payments to vendors.

  • Negotiate bill reductions as needed.

  • Run ISO searches.

  • Strategize claim resolution

  • Manage defense cost

  • Ensure the proper and timely filing of Medicare Secondary Payer information.

  • Train personnel.

  • Attend WC Board and Medical Arbitration hearings where appropriate.

  • Complete performance reviews for team leaders.

  • Assist team leaders with annual evaluation and direction.

  • Negotiate settlements as necessary.


    • Other Duties

  • Work with house counsel on various claim issues.

  • Participate in reinsurance audits.


    • Qualifications

  • Minimum 8 years workers' compensation claims experience.

  • Proven management track record.

  • For hire industry experience is a plus not a must.


    • Supervisory Responsibilities

    Responsible for managing supervisors and adjusters workloads, intake unit, medical billing unit, clerks and statistical reporting staff (HCRA, Medicare, SROI/FROI).



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