Claims Associate
Tandym Group · Queens, NY · 1 wk ago
AdministrativeContract
About the Opportunity
Shift: Day
Schedule: Monday to Friday
Hours: 8:30am to 4:30pm
Setting: Onsite
Responsibilities
- Review resolved classified PPD cases for settlement consideration and related follow-up
- Negotiate Section 32 settlements with attorneys, subject to supervision approval
- Maintain claim reserves, process payments, and prepare status updates for internal and external stakeholders
- Coordinate alive and well checks, medical follow-up, and other claim-related actions as needed
- Support active workers' compensation claims by reviewing case information, filing forms, and managing investigations to resolution
Qualifications
- At least 1 year of experience as a Workers' Compensation Examiner
- Working knowledge of New York Workers' Compensation forms and laws
- Experience with claim reserves and claims file documentation
- Proficiency with Microsoft Word and Excel
- Ability to work independently and collaboratively in a professional office environment
- Strong organizational, interpersonal, and communication skills
- Ability to maintain confidentiality and exercise sound judgment
- Ability to manage a high volume of claims and detailed case records
Desired Skills
- Associate's and/or Bachelor's Degree
- Experience with FileHandler or similar Claims Management Systems
- Background as a Paralegal
- Familiarity with Workers' Compensation medical management and settlement processes