Note: The job is a remote job and is open to candidates in USA. The Hartford is an insurance company dedicated to making a difference by providing comprehensive coverage and support. They are seeking a Senior Workers' Compensation Claim Representative to investigate and manage claim files, ensuring effective oversight and adherence to guidelines while providing exceptional customer service.

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

Skills

• 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

Benefits

• Paid training
• Ongoing coaching and development
• Short-term or annual bonuses
• Long-term incentives
• On-the-spot recognition

Company Overview