Workers' Compensation Technical Assistant (entry-level; hybrid)

The Company

At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier.

Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago.

What you will do:

The Workers' Compensation Technical Assistant is an important role to keep the Workers' Compensation department running smoothly and efficiently. The ideal candidate will have strong skills in detail orientation and information review and verification to complete and submit forms and other technical information. Skills in customer service will also be important as communication with medical providers and our insureds will occur on a regular basis as we work towards ensuring customer satisfaction and claims resolution. This role has strong career pathing potential in Workers' Compensation Claims and is a great place to start your career with Utica National!

Key responsibilities:

• Answer/return calls from medical providers regarding the status of medical payments, confirm payments, research re-consideration, etc.
• Assist in the daily review of the Genex Medical Bill 0105 queue.
• C8.1 Notice of Decisions – find the DOS/EOB in OnBase and submit to Genex to process the medical bill.
• Completion of the HP-2’s – produce check copy, find the EOB, complete the HP2 form, and mail copies to the WCB and medical provider.
• Genex UR Bills - issue manual payments on all UR invoices.
• Subject matter expert on EDI: assist with EDI filings, error correction, claims EDI help box and quarterly EDI report.
• Follow up with our insured for the completion of the C-11, C-240.
• Follow up with the insured for Job Analysis forms, job descriptions.
• Overpayment Letters and setting a follow up diary for recovery.
• Save the approved PAR from the NYS OnBoard portal, upload to OnBase and then send a support task to mail a copy to the claimant and Plaintiff counsel. Refer approved PARS to One Call, PRN, MSQ.
• Contact Doctor’s office to schedule the IME. Secure all medical reports and forward to the IME doctor. Send out appointment letters to the claimant and Plaintiff Counsel.
• Review and Pay IME invoices. Handle returned checks. Pay Genex UR Bills. Send HIPAA forms to the medical facility to secure medical records.
• Perform other tasks as assigned by management in relation to daily operations.
• Operate within a rules-based environment with a strong customer satisfaction emphasis.
• Adhere to mandated state regulations.
• Performs other duties as assigned.
• Conforms with all corporate policies and procedures.

What you need:

• Bachelor's Degree with insurance coursework preferred or equivalent experience.
• Up to 2 years' previous claims experience preferred.

Salary range: $35,000 - $45,500

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.

Benefits

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 include 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, ID Theft Protection, Pet Insurance
• Student Loan Refinancing Services
• Care.com Membership with Back-up Care, Senior Solutions
• Business Travel Accident Insurance
• Matching Gifts program
• Paid Volunteer Day
• Employee Referral Award Program
• Wellness programs

Additional Information:

This position is a full time hourly, non-exempt (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.

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Equal Opportunity Employer
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