Claims Services Representative

2 weeks ago


Broome, Australia New York State Full time
Job Title: Claims Services Representative

We are seeking a highly skilled Claims Services Representative to join our team at the New York State Insurance Fund. As a Claims Services Representative, you will be responsible for overseeing all aspects of workers compensation claims processing from inception to closing.

Key Responsibilities:
  • Initial determination of compensability and filing of documentation with the Workers Compensation Board (WCB)
  • Calculation and adjustment of reserves consistent with case analysis over the anticipated life of the claim
  • Recommendation of cases for appeal to WCB and negotiation of lump sum settlements
  • Issuance of payments and requests for reimbursement for supplemental benefits
  • Review of awards to ensure correct recipient and rate of compensation
  • Scheduling or waiving of medical examinations as necessary
  • Analysis of medical bills to determine causality, levels of treatment, necessity for treatment, appropriateness of fees and procedure codes, and apportionment status
  • Response to requests for home modifications, home health care personnel, medication, and medical supplies and appliances
  • Review of case activity and determination of when a claim can be retired

Requirements: A bachelor's or higher degree AND two years of professional experience; OR a juris doctor, master's or higher degree in a field related to the position being filled AND one year of professional experience. Candidates who are active on the most recent Professional Career Opportunities examination list are encouraged to apply.

Please note that the New York State Insurance Fund does not offer sponsorship for employment visas to employees or potential employees. Candidates sponsored for employment by an organization should be aware of their sponsorship status and the relevant expiration date(s) of that sponsorship before applying to this position.



  • Broome, Australia New York State Full time

    Job Title: Claims Services RepresentativeWe are seeking a highly skilled Claims Services Representative to join our team at the New York State Insurance Fund. As a Claims Services Representative, you will be responsible for overseeing all aspects of workers compensation claims processing from inception to closing.Key Responsibilities:Initial determination of...


  • Broome, Australia New York State Full time

    Job SummaryWe are seeking a highly skilled Claims Services Representative to join our team at the New York State Insurance Fund. As a Claims Services Representative, you will be responsible for overseeing all aspects of workers compensation claims processing from inception to closing.Key ResponsibilitiesInitial determination of compensability and filing of...


  • Broome, Australia New York State Full time

    Minimum Qualifications For Appointment to Claims Services Representative Trainee 1: •Reachable on current Civil Service eligible list for this title; OR •One year of permanent, competitive class service in a title eligible for transfer under Section 70.1 of the Civil Service Law. Eligible titles include, but are not limited to: Investigator 1,...


  • Broome, Australia Repco Full time

    Customer Service and Sales RepresentativeWe are seeking a passionate customer service expert to join our team as a Customer Service and Sales Representative at Repco.About the Role:As a Customer Service and Sales Representative, you will be committed to creating lasting impressions and moments that matter for our customers. You will have superstar selling...


  • Broome, Australia Telstra Full time

    About the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Part-Time Customer Service Representative in our Broome store.As a key member of our sales team, you will be responsible for providing exceptional customer service, building strong relationships with our customers, and driving sales growth through...


  • Broome, Australia Telstra Full time

    About the RoleWe are seeking a talented Customer Service Representative to join our team in a Retail Sales Consultant role at Telstra. As a key member of our team, you will be responsible for delivering exceptional customer service and sales experiences to our customers.Key ResponsibilitiesProvide outstanding customer service and support to customers...


  • Broome, Australia Minor Hotels Full time

    Customer Service Representative OpportunityWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative at our Oaks Broome Hotel in Broome, Australia.About the RoleAs a Customer Service Representative, you will be responsible for providing exceptional customer service to our guests, ensuring a smooth...


  • Broome, Australia New York State Full time

    Minimum QualificationsA review of your state history is necessary to determine if you meet any of the Permanent Competitive qualifications outlined below.Please provide the last four digits of your social security number in your email response or on your resume. If you are not comfortable providing this information via email, a representative from our office...


  • Broome, Australia New York State Full time

    Job SummaryWe are seeking a highly skilled and experienced professional to fill the role of Supervising Labor Services Representative in the Division of Employment and Workforce Solutions. As a key member of our team, you will be responsible for supervising professional and clerical staff, developing a cohesive team approach, and ensuring the delivery of...


  • Broome, Australia New York State Full time

    Job SummaryWe are seeking a highly skilled and experienced professional to join our team as a Supervising Labor Services Representative. As a key member of our Division of Employment and Workforce Solutions, you will be responsible for supervising professional and clerical staff, developing a cohesive team, and ensuring the delivery of services to our...


  • Broome, Australia New York State Full time

    Minimum QualificationsA thorough review of your state history is required to determine eligibility based on the following Permanent Competitive qualifications. For those not comfortable providing sensitive information via email, a representative will reach out to you directly.Subsequent 55 B/C Qualifications: Consideration for a subsequent 55b/c appointment...


  • Broome, Australia New York State Full time

    Minimum Qualifications: A thorough evaluation of your state history is essential to determine if you meet any of the following Permanent Competitive qualifications. It is required to provide the last four digits of your social security number in your correspondence or on your resume. If you prefer not to disclose this information via email, a representative...


  • Broome, Australia New York State Full time

    Job SummaryWe are seeking a highly skilled and experienced Supervising Labor Services Representative to join our team at the New York State Department of Labor. As a key member of our Division of Employment and Workforce Solutions, you will be responsible for supervising professional and clerical staff, developing a cohesive team, and ensuring the delivery...


  • Broome, Australia New York State Full time

    Job Summary:We are seeking a highly skilled and experienced Supervising Labor Services Representative to join our team at the New York State Department of Labor. As a key member of our workforce solutions team, you will be responsible for supervising professional and clerical staff to ensure the delivery of high-quality services to our customers.Key...


  • Broome, Australia Repco Full time

    About RepcoRepco is a leading brand in the Australian and New Zealand markets, recognized for its quality, expertise, and knowledge in the automotive aftermarket. Our team members are valued and appreciated, and we deliver careers and experiences that are both challenging and rewarding.Our TeamOur Customer Service and Sales Representatives are committed to...


  • Broome, Australia New York State Full time

    Job SummaryAs a Supervising Labor Services Representative with the New York State Department of Labor, you will oversee a team of professionals and clerical staff to deliver exceptional services to our customers. Your leadership skills will be essential in developing a cohesive team that meets the Department's needs.Key Responsibilities Supervise staff to...


  • Broome, Australia JAY JAYS Full time

    About the RoleWe are seeking a motivated and fashion-conscious Sales Assistant to join our team at Jay Jays. As a Sales Assistant, you will be responsible for providing exceptional customer service, maintaining a high level of product knowledge, and achieving sales targets.Key ResponsibilitiesRepresent Jay Jays by providing outstanding customer service and...


  • Broome, Australia Repco Full time

    About RepcoRepco is a leading brand in the Australian and New Zealand markets, recognized for its quality, expertise, and knowledge in the automotive aftermarket. Our team members are valued and appreciated, and we deliver careers and experiences that are both challenging and rewarding.Our TeamOur Customer Service and Sales Representatives are committed to...


  • Broome, Australia New York State Full time

    Job SummaryWe are seeking a highly skilled and experienced Supervising Labor Services Representative to join our team at the New York State Department of Labor. As a key member of our Division of Employment and Workforce Solutions, you will be responsible for supervising professional and clerical staff, developing a cohesive team, and ensuring the delivery...


  • Broome, Australia New York State Full time

    Job SummaryWe are seeking a highly skilled and experienced Supervising Labor Services Representative to join our team at the New York State Department of Labor. As a key member of our Division of Employment and Workforce Solutions, you will be responsible for supervising professional and clerical staff, developing a cohesive team, and ensuring the delivery...