Workers Compensation Claim Administrator

The Hartford • Lake Mary, FL

195d • $48,080 - $72,120 • 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. The Workers' Compensation Claim Administrator role will work within established procedures in adherence to statutory, regulatory, and ethical requirements. Our dynamic team of claim professionals provide superb customer service with the valuation, and disposition of claims while adhering to our corporate claim's excellence policies. At The Hartford, we respect our employees for their unique perspectives, ideas, and solutions. We empower individuals and teams to invent faster, smarter ways of meeting customers' needs while improving our performance. This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, or 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 schedule, with the expectation of coming into an office as business needs arise.

Requirements

• Prior workers' compensation insurance claim handling is preferred.
• Demonstrated passion for delivering a superb customer experience.
• Ability to meet productivity targets in a fast-paced, team-oriented environment.
• Excellent written and communication skills with the ability to resolve service issues.
• Possess strong time management and organizational skills.
• Ability to adapt and flourish using industry-changing workflows.
• Demonstrates active listening to attentively meet the needs of our customers and exhibit empathy during difficult situations.
• Demonstrated desire to promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another.
• Ability to self-manage competing priorities while delivering accurate work within key timelines.
• Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint).
• HS Diploma required, Bachelor's Degree is preferred.

Responsibilities

• Effectively manage workers' compensation claims requiring coverage and compensability investigations as identified from First Notice of Loss in multiple jurisdictions.
• Identify co-morbid conditions/prior conditions that may affect the original or ongoing compensability decision of the claim.
• Provide benefit oversight and file disposition appropriate for claim complexity and adherence to statutory guidelines for all claims.
• Leverage a network of internal partner resources such as: nurses, utilization review, and subject matter experts to help with disposition of the claim.
• Identify and investigate potential fraud red flags, inclusive of referral to SIU.
• Provide exceptional customer service by establishing and maintaining productive business relationships with internal and external customers through written and verbal communication.
• Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions, such as coverage analysis, compensability decisions, escalation of injury complexity, attorney representation, and potential red flags.
• 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 and inclusion to maximize operational performance and employee engagement.
• Embrace a culture of continuous improvement.

Benefits

• Short-term or annual bonuses.
• Long-term incentives.
• On-the-spot recognition.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree