Senior Claims Representative, Workers' Compensation

Sr Representative Claims - CH08BE

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.

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.

Start Date : September 23, 2024

Hours : Monday - Friday, core business hours

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

Additional Information :

This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations ( Lake Mary, FL, San Antonio, TX, Scottsdale, AZ, Hartford, CT, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).

Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

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. To confirm whether your Internet system has sufficient speeds, please visit from your personal computer.

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 :

$61,600 - $92,400

Equal Opportunity Employer / Females / Minorities / Veterans / Disability / Sexual Orientation / Gender Identity or Expression / Religion / Age

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