AVP Senior Workers Compensation Claims Analyst (Construction Concentration) REMOTE - NFP : Job Details

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• Job Description - GENERAL PURPOSE OF JOB

The AVP Workers Compensation Analyst will provide workers compensation claims oversight and advocate for the client to obtain the best possible claim outcome.

• DUTIES AND RESPONSIBILITIES

• Advocates for clients by providing claim oversight for claim exposures for workers compensation for Commercial Property & Casualty.
• Receive initial notification of clients claim, review account instructions (if any), and begin processing of claim.
• Manage the progress of the claim from first report to settlement.
• Responsible for completing claim file, which includes coverage verification, making preliminary determination of coverage and coverage research to address claim issues that arise to obtain the best outcome for the client.
• Coordinate processing of claim with client, risk manager, designee, carrier, third party administrator, producer, AE and others to advocate on behalf of our client.
• Captive claim experience and experience modification review a plus.
• Record and maintain claim information in EPIC system.
• Control service of claims and maintain status and follow up as needed.
• Maintain loss histories, and provide loss runs as requested via computer interfacing with carrier.
• Every 90 days, initiates a status or a follow up on all open claims.
• Occasionally author white papers on topics clients are facing with respect to workers compensation.
• Attend client claim meetings to advocate on behalf of the client, including pre-renewal, renewal and claim reviews. Occasional travel.
• Assist Sales Team to address client claim issues.
• Assist the Team Leader in various projects, including development of best practices, teaching and training of claim advocates and claim coordinator, and other ad hoc projects.

• POSITION SPECIFIC REQUIREMENTS

• Exceptional customer service skills, including emotional intelligence and commitment to outstanding client service.
• Strong interpersonal skills to work with multiple clients and carriers.
• Problem solving focus, maintains confidentiality and strong listening skills.
• Strong oral and written communication skills.
• Balance team and individual responsibilities and contributes to building a positive team spirit.
• Ability to manage multiple tasks at the same time.
• Upholds organizational values, treats others with respect and works with integrity and ethically.
• Supports organizational goals, follows policies and procedures and completes tasks correctly and on time.
• Exhibits sound and accurate judgment and includes appropriate people in decision-making process.
• Demonstrates persistence and overcomes obstacles while maintaining professionalism.
• Prioritizes and plans work activities, uses time efficiently, sets goals and objectives and organizes or schedules other people and their tasks.
• Demonstrates accuracy and thoroughness while meeting productivity standards and completing work in timely manner.
• Is adaptable, punctual and dependable.

• EDUCATION and/or EXPERIENCE

• Four-year college or university degree required
• 15+ years of Commercial & Property Workers Compensation claim handling and/or claims oversight experience involving several states, including New York
• Proficiency with Microsoft Suite of products (i.e., Excel, Word and PowerPoint)
• Proficiency with presenting to small or large groups, including in-person or through Teams/Zoom

• PERFORMANCE APTITUDESThe following are basic skills and abilities needed to successfully accomplish the essential duties of this job.

Data Utilization:

• Requires the ability to calculate, compute, summate, and/or tabulate data and/or information. Perform subsequent actions in relation to these computational operations as requested.

Human Interaction:

• Requires the ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations.

Verbal Aptitude:

• Requires ability to discuss a wide variety of reference, descriptive, and/or advisory data and information with clients and colleagues.

Mathematical Aptitude:

• Requires the ability to perform addition, subtraction, multiplication and division. May require ability to calculate decimals and percentages.

Functional Reasoning:

• Requires the ability to carry out instructions furnished in written, oral, or diagrammatic form. Involves semi-routine standardized work with increasing latitude for independent judgment concerning choices of action.

• ADA COMPLIANCE

Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5-10 pounds). Tasks may involve extended periods of time at a keyboard or workstation.Sensory Requirements: Some tasks require the ability to perceive and differentiate visual cues or signals. Some tasks require the ability to communicate orally.Environmental Factors: Essential functions are regularly performed without exposure to adverse environmental conditions. This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments). There may be physical requirements typical of this position that are not specified in this description.What We OfferWe're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others.NFP and You... Better together!NFP is an inclusive Equal Employment Opportunity employer.