Senior Lost Time Claims Specialist – Workers' Comp

MEMIC; Glastonbury (CT); On-site; USD 90,000 - 110,000; Full time

Job summary

MEMIC is seeking a Lost Time Claim Specialist in Connecticut with several years of experience handling workers’ compensation claims in New England. You will manage complex lost time claims, ensure regulatory compliance, and deliver exceptional service to injured workers, policyholders, and agents.

Responsibilities include investigating and resolving medical-only and lost time claims, coordinating care, administering benefits, and maintaining organized claim files in line with MEMIC’s policies

Qualifications

• 3+ years of Lost Time Claim handling experience.
• Strong knowledge of workers’ compensation claims and jurisdictional compliance.
• Excellent verbal and written communication skills.

Responsibilities

• Investigate, evaluate, and resolve medical-only claims and lost time claims.
• Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
• Administer medical and indemnity benefits in compliance with state workers’ compensation statutes and MEMIC’s best practices.
• Maintain organized and high-quality claim files in accordance with company policies and procedures.
• Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
• Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
• Stay updated on state laws and workers’ compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).

Skills

Lost Time claim handling

Claims management

Communication skills

Job description

MEMIC is seeking a Lost Time Claim Specialist in Connecticut with several years of experience handling workers’ compensation claims in New England. You will manage complex lost time claims, ensure regulatory compliance, and deliver exceptional service to injured workers, policyholders, and agents.

Responsibilities include investigating and resolving medical-only and lost time claims, coordinating care, administering benefits, and maintaining organized claim files in line with MEMIC’s policies