Active Indemnity Examiner

Title: Active Indemnity Examiner

Grade: 9 (OPEIU L153)

Rate of Pay: $77,384.92 (weekly $1,374.33, plus $113.84 FICA reimbursement)

FLSA Status: Non-Exempt

Employer: Joint Industry Board of the Electrical Industry

Department: EESISP

Reports to: EESISP Supervisors

Location: Flushing, NY 11365

Vacancy: 1

JOB DESCRIPTION

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 claims
• 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 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 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.
• 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.

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 4 years of experience as workers’ compensation examiner required
• 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
• Ability to accurately and timely reserve for the exposure of the claim
• Must possess the ability to make sound judgment
• Strict confidentiality

COMPANY 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 - The premiums are paid entirely by the Joint Industry Board subject to any PHBP Plan and Trustee modification. Coverage thru Magna Care PPO (Medical), Express Script for Prescription, DDS/Empire Dental, In addition, eligible employees may use JIB Medical P.C.
• Short Term Disability and Long-Term Disability.
• NYS Paid Family Leave.
• Jury Duty and Death in family bereavement days off.
• 11 Holidays
• Paid Time Off.
• Paid Vacation
• Retirement plan – Defined Pension Plan with vesting and age requirement, fully funded by employer.
• Life Insurance

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.

Introduction: Electrical Employers Self Insurance Safety Plan self-administers Workers’ Compensation benefits, collectively bargained supplemental benefits, Short-Term Disability benefits and Paid Family Leave benefits for many of the members of IBEW Local Union No. 3 and their employers. EESISP was chartered by the Workers’ Compensation Board in 1967 and is the oldest and largest group self-insured trust fund in New York.