Workers' Compensation Claim Representative

Jobtailor; Connecticut; On-site; USD 60,000 - 75,000; Full time

Job summary

Jobtailor is seeking a dedicated professional to manage workers’ compensation claims with focus on timely investigations and financial accuracy. The role involves benefit oversight and compliance with statutory guidelines, while coordinating with doctors, attorneys, and regulators to support claimants.

Ideal candidates possess strong communication, data analysis, and collaboration skills to drive accurate claim outcomes in a fast-paced environment.

Qualifications

• Strong organizational skills and ability to prioritize tasks.
• Excellent written and verbal communication skills.
• Ability to meet productivity targets in a fast-paced, team-oriented environment.

Responsibilities

• Effectively manage workers’ compensation claims requiring timely investigations and financial accuracy
• Provide benefit oversight, appropriate file disposition and adherence to statutory guidelines for all claims
• Leverage a network of professional resources to facilitate our mission of restoring the lives of our claimants
• Provide exceptional customer service by establishing and maintaining productive business relationships with customers
• Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions
• Provide accurate mathematical calculations of disability benefit rates and claim financial exposures
• Leverage contemporary technology to achieve accurate and efficient claim outcomes
• Consistently demonstrate professional diplomacy during all interactions with customers
• Contribute to a courageous culture that promotes collaboration to maximize operational performance and employee engagement
• Embrace a culture of continuous improvement

Skills

Organizational Skills

Time Management

Active Listening

Negotiation Skills

Empathy

Education

HS Diploma

Bachelor’s Degree preferred

Tools

MS Word

MS Excel

MS Outlook

MS PowerPoint

Job description

Responsibilities

• Effectively manage workers’ compensation claims requiring timely investigations and financial accuracy
• Provide benefit oversight, appropriate file disposition and adherence to statutory guidelines for all claims
• Leverage a network of professional resources that may include: doctors, nurses, attorney and regulators to facilitate our mission of restoring the lives of our claimants
• Provide exceptional customer service by establishing and maintaining productive business relationships with customers
• Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions
• Provide accurate mathematical calculations of disability benefit rates and claim financial exposures
• Leverage contemporary technology to achieve accurate and efficient claim outcomes
• Consistently demonstrate professional diplomacy during all interactions with customers
• Contribute to a courageous culture that promotes collaboration to maximize operational performance and employee engagement
• Embrace a culture of continuous improvement

Requirements

• Prior workers’ compensation insurance claim handling is preferred
• HS Diploma required, Bachelor’s Degree is preferred
• Excellent organizational skills, especially regarding prioritizing work activities
• Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
• Superb time management and organizational skills
• Ability to meet productivity targets in a fast-paced, team-oriented environment
• Excellent communication skills and negotiation skills
• Ability to adapt and flourish using industry-changing workflows
• Excellent written and verbal communication skills
• Demonstrates active listening to attentively meet the needs of our customers and exhibit empathy during difficult situations
• Ability to self-manage competing priorities while delivering accurate work within key timelines

Core Competencies

Demonstrates expertise in managing workers' compensation claims with a focus on financial accuracy, timely investigations, and adherence to statutory guidelines. Excels in customer service, leveraging critical thinking and organizational skills to meet productivity targets in a fast-paced environment.

Highest-signal resume keywords

• Workers' Compensation Claims Management
• Financial Accuracy
• MS Office Suite Proficiency
• Excellent Communication Skills
• Critical Thinking

ATS Optimization Keywords

Hard Skills

• Workers' Compensation Claims Handling
• Mathematical Calculations
• Data Analysis
• File Disposition
• Benefit Oversight

Soft Skills

• Organizational Skills
• Time Management
• Active Listening
• Negotiation Skills
• Empathy

Industry Keywords

• Statutory Guidelines
• Customer Service
• Collaboration
• Continuous Improvement
• Productivity Targets

Tools & Technologies

• MS Word
• MS Excel
• MS Outlook
• MS PowerPoint