Senior Claims Representative, Workers' Compensation jobs in United States
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The Hartford · 21 hours ago

Senior Claims Representative, Workers' Compensation

The Hartford is an insurance company dedicated to making a difference. They are seeking a Senior Workers' Compensation Claim Representative to investigate and manage claim files, ensuring individuals and businesses receive the support they need after a claim.

Auto InsuranceCommercial InsuranceEmployee BenefitsFinanceFinancial ServicesInsuranceLife InsuranceProperty Insurance

Responsibilities

Handle higher complexity Workers’ Compensation claims requiring timely investigations, financial accuracy, effective benefit oversight, appropriate file disposition, and adherence to statutory guidelines
Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies and procedures, and statutory, regulatory and ethics requirements
Manage caseload/claims within established performance standards
Establish and maintain effective relationships with customers, gaining their trust and respect
Be responsible for successfully managing Workers' Compensation claims
Fully engage your exceptional verbal and numerical critical thinking skills; gather information, apply reasoning and draw appropriate conclusions to make sound decisions
Plan recommend, reserve and execute the investigation, valuation, disposition and settlement of claims
Achieve fair, equitable and timely claim dispositions
Properly assess the indemnity, medical and expense exposure of assigned claims
Set reserves accurately and in a timely manner
Accurately resolve coverage and compensability issues
Plan, organize and establish priorities, determine realistic completion dates
Develop technical and jurisdictional expertise
Maintain current knowledge of claim loss cost containment initiatives and use them appropriately and consistently with company practices and procedures
Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims
Identify fraud indicators and initiate investigation on assigned claims
Apply general mathematical knowledge or financial analysis to achieve results

Qualification

Workers' Compensation claimsClaim handling experienceCA Self Insured LicenseInterpersonal skillsCustomer service focusWritten communication skillsVerbal communication skillsTime management skills

Required

Minimum of 2+ years of experience in Workers' Compensation claim handling required
Certification exams and adjusting licenses as required by state
Outstanding interpersonal skills
Strong focus delivering outstanding customer service
Demonstrated strong written and verbal communication skills
Demonstrated consistent high level of performance and achievement over career span
Excellent time management skills with the ability to manage competing priorities

Preferred

HS Diploma required, bachelor's degree is preferred
CA Self Insured License preferred

Benefits

Paid training
Ongoing coaching and development
Short-term or annual bonuses
Long-term incentives
On-the-spot recognition

Company

The Hartford

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The Hartford is an industry leading provider of property and casualty insurance, group benefits and mutual funds.

Funding

Current Stage
Public Company
Total Funding
unknown
1995-12-15IPO

Leadership Team

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Christopher Swift
Chief Executive Officer
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Company data provided by crunchbase