Workers' Compensation Senior Claims Representative

The Hartford; San Francisco (CA); Remote; USD 64,000 - 96,000; Full time

Job summary

The Hartford is seeking a Sr Representative Clms CA to remotely manage workers' compensation claims for California residents. You will investigate, value, settle, and disposition claims while following policy and regulatory requirements, delivering strong customer service and data-driven decisions.

Ideal candidates have 2+ years in workers' comp claims handling, excellent communication, and a preference for CA Self Insured Licensing.

Qualifications

• Minimum 2+ years’ workers' compensation claim handling experience.
• CA Self Insured License strongly preferred.
• Outstanding interpersonal skills and customer service focus.
• Excellent written and verbal communication; ability to manage priorities.

Responsibilities

• Effectively manage workers' compensation claims with timely investigations and financial accuracy.
• Provide benefit oversight and appropriate file disposition in line with guidelines.
• Leverage a network of resources (doctors, nurses, attorneys, regulators) to support claim outcomes.
• Deliver exceptional customer service and maintain productive relationships with customers.
• Analyze data to inform critical claim decisions and calculate disability benefits.
• Use technology to achieve accurate and efficient claim processing.

Skills

Interpersonal skills

Customer service

Communication skills

Time management

Education

HS Diploma

Bachelor's degree preferred

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.

The Sr. Claim Representative is accountable for planning, recommending, and executing the investigation of workers' compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the representatives will work within established procedures in adherence to statutory, regulatory and ethical requirements.

Work Arrangement

This position is 100% remote and open only to candidates who reside in the state of California. Start Date: January 19, 2027 Hours: Monday - Friday, core business hours Training: 5 weeks

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

Qualifications

• Minimum of 2+ years of experience in workers' compensation claim handling required
• Certification exams and adjusting licenses as required by state. CA Self Insured License strongly preferred.
• 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

Additional Details

• This position is 100% remote and open only to candidates who reside in the state of California.

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: $64,000 - $96,000

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

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