Workers' Compensation Claim Representative/Senior Claim Representative

The Hartford•San Antonio, TX

1d•$56,391 - $93,600•Hybrid

About The Position

This position can be filled as a Claim Representative or Sr. Claim Representative based on experience. The Workers’ Compensation Claim / 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. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) 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. Start Date: January 19, 2027 Hours: Monday - Friday, core business hours Training: 5 weeks

Requirements

HS Diploma required, bachelor’s degree is preferred
Demonstrated passion for delivering a superb customer experience
Excellent organizational skills, especially regarding prioritizing work activities
Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
Superb time management and organizational skills
Ability to meet productivity targets in a fast-paced, team-oriented environment
Excellent communication skills and negotiation skills
Ability to adapt and flourish using industry-changing workflows
Excellent written and verbal communication skills
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
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 consistent high level of performance and achievement over career span
Excellent time management skills with the ability to manage competing priorities

Nice To Haves

Prior workers’ compensation insurance claim handling is preferred
Bachelor’s degree is preferred

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