Workers' Compensation Claim Representative/Senior Claim Representative

The Hartford•Lake Mary, FL

About The Position

The Workers’ Compensation Claim Representative or Senior Claim Representative plans, recommends, and executes investigations of workers’ compensation claims. The role supports claimants through accurate valuation, disposition, and settlement of claims while providing strong customer service and following corporate settlement policies and statutory, regulatory, and ethical requirements. Hiring level is based on experience. The position may be hybrid or remote. Employees living near an office in Hartford, CT; San Antonio, TX; Lake Mary, FL; Phoenix, AZ; Naperville, IL; or Alpharetta, GA are expected to work in an office Tuesday through Thursday. Remote employees outside those areas may be asked to come into an office as business needs arise. The start date is January 19, 2027. The schedule is Monday through Friday during core business hours, with five weeks of training.

Requirements

High school diploma or equivalent required.
For the Claim Representative level, prior workers’ compensation insurance claim handling is preferred; no minimum experience is specified.
For the Senior Claim Representative level, at least 2 years of workers’ compensation claim-handling experience is required.
Senior Claim Representatives must obtain certification exams and adjusting licenses as required by the state.
Demonstrated ability to deliver a strong customer experience, including active listening and empathy in difficult situations.
Strong organizational skills, including prioritizing work and managing competing priorities while delivering accurate work on time.
Proficiency with Microsoft Office, including Word, Excel, Outlook, and PowerPoint.
Ability to meet productivity targets in a fast-paced, team-oriented environment.
Excellent communication and negotiation skills, including strong written and verbal communication.
Ability to adapt to changing industry workflows.
Ability to contribute to an inclusive culture of continuous learning, teamwork, collaboration, transparency, and accountability.
Senior Claim Representatives should demonstrate strong interpersonal skills and a consistent record of high performance and achievement.

Nice To Haves

Bachelor’s degree.
Prior workers’ compensation insurance claim handling for the Claim Representative level.

Responsibilities

Manage workers’ compensation claims, conducting timely investigations and maintaining financial accuracy.
Oversee benefits, determine appropriate file dispositions, and adhere to statutory guidelines for all claims.
Use professional resources, which may include doctors, nurses, attorneys, and regulators, to support claimant recovery.
Establish and maintain productive customer relationships and provide exceptional customer service.
Gather and analyze information to inform claim decisions.
Calculate disability benefit rates and claim financial exposures accurately.
Use contemporary technology to achieve accurate and efficient claim outcomes.
Demonstrate professional diplomacy in interactions with customers.
Promote collaboration to support operational performance and employee engagement.
Support a culture of continuous improvement.