Workers’ Compensation Senior Claim Representative
About The Position
The Senior Claim Representative plans, recommends, and executes investigations of workers’ compensation claims. The role provides valuation, disposition, and settlement of claims while delivering customer service and adhering to corporate claim settlement policies, established procedures, and applicable statutory, regulatory, and ethical requirements. The position may be hybrid or remote. Employees who live near an office in Hartford, Connecticut; San Antonio, Texas; Lake Mary, Florida; Phoenix, Arizona; Naperville, Illinois; or Alpharetta, Georgia are expected to work in an office Tuesday through Thursday. Employees who do not live near an office will work remotely and are expected to come into an office as business needs arise. The start date is January 19, 2027. Hours are Monday through Friday during core business hours, and training lasts five weeks.
Requirements
- At least 2 years of workers’ compensation claim-handling experience.
- 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.
- Consistently high performance and achievement over the course of a career.
- 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 maintaining financial accuracy.
- Oversee benefits, determine appropriate file disposition, and ensure adherence to statutory guidelines.
- Leverage professional resources, which may include doctors, nurses, attorneys, and regulators, to support claimant restoration.
- Establish and maintain productive customer relationships 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 supports operational performance and employee engagement.
- Embrace continuous improvement.
Benefits
- Short-term or annual bonuses may be offered.
- Long-term incentives may be offered.
- On-the-spot recognition may be offered.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
