Workers' Compensation Senior Claim Representative

The HartfordLake Mary, FL
8hHybrid

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 Senior 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. Work Arrangement : This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations (Hartford, CT, Lake Mary, FL, San Antonio, TX, Naperville, IL or Scottsdale, AZ) 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

  • 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 strong written and verbal communication skills
  • Demonstrated consistent high level of performance and achievement over career span
  • Ability to meet productivity targets in a fast-paced, team-oriented environment
  • Excellent time management skills with the ability to manage competing priorities
  • Ability to adapt and flourish using industry-changing workflows
  • Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
  • HS Diploma required

Nice To Haves

  • 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 and inclusion to maximize operational performance and employee engagement
  • Embrace a culture of continuous improvement

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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