Workers’ Compensation Senior Claim Representative

The Hartford•Hartford, CT

About The Position

The Sr. Claim Representative plans, recommends, and executes investigations of workers’ compensation claims. The role provides customer service while valuing, disposing of, and settling claims in accordance with corporate claim settlement policies and established procedures, statutory and regulatory requirements, and ethical standards. Claim representatives work with professional resources such as doctors, nurses, attorneys, and regulators to support claimants and achieve accurate, efficient claim outcomes. The role may be hybrid or remote. Candidates who live 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 three days a week, Tuesday through Thursday. Candidates who do not live near an office will work remotely and may be expected to come into an office as business needs arise. The position starts January 19, 2027, works Monday through Friday during core business hours, and includes five weeks of training.

Requirements

At least 2 years of experience handling workers’ compensation claims.
Certification exams and adjusting licenses as required by state.
Outstanding interpersonal skills.
Strong focus on delivering outstanding customer service.
Strong written and verbal communication skills.
Consistent high-level performance and achievement over career span.
Excellent time-management skills and ability to manage competing priorities.
High school diploma.

Nice To Haves

Bachelor’s degree.

Responsibilities

Manage workers’ compensation claims, conducting timely investigations and ensuring financial accuracy.
Provide benefit oversight, determine appropriate file disposition, and adhere to statutory guidelines for claims.
Use a network of professional resources, which may include doctors, nurses, attorneys, and regulators, to support claimants.
Establish and maintain productive business relationships with customers and provide exceptional customer service.
Gather and analyze information using critical thinking 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.
Contribute to a collaborative culture that maximizes operational performance and employee engagement.
Embrace continuous improvement.