Senior Claims Representative, Workers' Compensation

The Hartford; United States; Remote; USD 63,000 - 95,000; Full time

Job summary

An established industry player is seeking a Senior Workers' Compensation Claim Representative to join their remote team. In this pivotal role, you will investigate and manage claims, ensuring fair and timely resolutions for clients. This position offers the opportunity to work from home while receiving comprehensive training and ongoing support to enhance your skills. If you are passionate about helping others and possess strong interpersonal and analytical skills, this is a unique chance to contribute to a company that values its employees and their growth. Join us in making a difference in the lives of those we serve.

Qualifications

• 2+ years experience in Workers' Compensation claim handling required.
• Strong focus on delivering outstanding customer service.

Responsibilities

• Manage higher complexity Workers’ Compensation claims with timely investigations.
• Establish and maintain effective relationships with customers.

Skills

Workers' Compensation claim handling

Outstanding interpersonal skills

Customer service

Written and verbal communication

Time management

Critical thinking

Education

High School Diploma

Bachelor's Degree

Job description

Sr Representative Clms CA - CH08AN

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.

This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California.

Please note that we post this position to develop a talent pipeline ahead of immediate demand and in anticipation of future vacancies.

As a Senior Workers' Compensation Claim Representative, you are at the front lines for our customer. Your primary role is to investigate and manage claim files to help individuals and businesses prevail after a claim. The Hartford will provide you with paid training, as well as ongoing coaching and development to ensure your success.

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.

Qualifications:

• 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.

Additional Information:

• This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California.
• As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam within 1 year from your date of hire.
• For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $63,200 - $94,800.

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age