Senior Claims Representative, Workers' Compensation
The Hartford
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $64,000 - $96,000 per year
Job Level
About the role
- Investigate and manage claim files to help individuals and businesses prevail after a claim
- 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
Requirements
- 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
- HS Diploma required, bachelor’s degree is preferred
- CA Self Insured License preferred
Benefits
- Paid training
- Ongoing coaching and development
- Competitive salary
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Workers' Compensation claims handlingfinancial analysisclaim investigationclaim dispositioncoverage resolutionindemnity assessmentmedical exposure assessmentexpense exposure assessmentclaim loss cost containmentsubrogation
Soft Skills
interpersonal skillscustomer servicewritten communicationverbal communicationtime managementcritical thinkingorganizational skillsrelationship buildingdecision makingperformance achievement
Certifications
adjusting licensesCA Self Insured License