Workers' Compensation Senior Claims Representative

The Hartford•Scottsdale, AZ
•Remote

About The Position

The Sr. Claim Representative plans, recommends, and executes investigations of workers’ compensation claims. The role provides customer service through claim valuation, disposition, and settlement while adhering to corporate claim settlement policies and established procedures, including applicable statutory, regulatory, and ethical requirements. This position is 100% remote and open only to candidates who reside in New Mexico. The start date is January 19, 2027. Hours are Monday through Friday during core business hours, with five weeks of training.

Requirements

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

Nice To Haves

  • Bachelor’s degree preferred.

Responsibilities

  • Manage workers’ compensation claims, conducting timely investigations and maintaining financial accuracy.
  • Provide benefit oversight, determine appropriate file disposition, and adhere to statutory guidelines for all claims.
  • Work with 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 to inform claim decisions using critical thinking skills.
  • 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.
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