Workers' Claims - Senior OR Specialist II; Primarily NY

Company Overview

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, we are based in our home office in Central New York, with regional offices in NYC, Dallas and Charlotte.

This role may be hired at a Claims Specialist II level or Senior Claims Specialist level, depending on experience and qualifications.

In this role, you'll use your customer service experience, investigative skills, and detail orientation to handle low to moderate complexity Lost Time claims (for the Claims Specialist II level) or more serious and complex Lost Time claims (for the Senior Specialist level) in primarily NY jurisdictions. Communicating with our insureds, attorneys, and other relevant parties will be required. With technical claims knowledge, you'll also use your decision‑making skills to settle claims within your assigned authority.

• Investigate, evaluate and resolve primarily New York Workers' Compensation Lost Time claims with either low to moderate complexity (Claims Specialist II) or claims with a higher complexity and more serious nature (Senior Claims Specialist).
• Handle less complex litigated files and maintain contact with attorneys concerning serious claim matters to direct defense counsel in the resolution of claim.
• Perform special claims investigation and handle matters requiring broad technical claims knowledge.
• Operate on a more independent basis with little supervision.
• Settle claims within assigned authority.
• Review court decisions; make legal and coverage interpretations.
• Maintain broad knowledge and understanding of the law and claim practices.
• Provide technical support for less experienced specialists as needed.
• May assume duties of the Claims Supervisor in the Supervisor's absence.
• Perform other tasks as assigned.

• Four year degree or equivalent experience preferred.
• 2-4 years of insurance claims experience preferred with workers' compensation experience.

• Four year degree or equivalent experience preferred.
• 3-4+ years insurance claims experience required with workers' compensation experience.
• Experience with New York jurisdictions strongly preferred.

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.

Claims Specialist II: $57,943 - $72,000

Senior Claims Specialist: $73,000 - $95,000

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.

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 includes 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,  Protection, Pet Insurance
• Student Loan Refinancing Services
• 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

This position is a full‑time salaried, exempt (non‑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.