Senior Claims Representative, Workers' Compensation

The Hartford•Scottsdale, AZ

1d•$64,000 - $96,000•Remote

About The Position

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. This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California. 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.

Requirements

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

Nice To Haves

CA Self Insured License preferred

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