Workers' Compensation Claim Administrator jobs in United States
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The Hartford · 7 hours ago

Workers' Compensation Claim Administrator

The Hartford is an insurance company committed to making a difference and helping individuals achieve their goals. The Workers’ Compensation Claim Administrator will manage claims, provide exceptional customer service, and ensure adherence to statutory and regulatory requirements while leveraging resources for optimal claim outcomes.

Auto InsuranceCommercial InsuranceEmployee BenefitsFinanceFinancial ServicesInsuranceLife InsuranceProperty Insurance

Responsibilities

Effectively manage workers’ compensation claims requiring coverage and compensability investigations as identified from First Notice of Loss in multiple jurisdictions
Identify co-morbid conditions/prior conditions that may affect the original or ongoing compensability decision of the claim
Provide benefit oversight and file disposition appropriate for claim complexity and adherence to statutory guidelines for all claims
Leverage a network of internal partner resources such as: nurses, utilization review, and subject matter experts to help with disposition of the claim
Identify and investigate potential fraud red flags, inclusive of referral to SIU
Provide exceptional customer service by establishing and maintaining productive business relationships with internal and external customers through written and verbal communication
Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions, such as coverage analysis, compensability decisions, escalation of injury complexity, attorney representation, and potential red flags
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

Qualification

Workers' compensation claimsCustomer serviceCritical thinkingMS Office SuiteTime managementEmpathyTeam-orientedActive listeningOrganizational skillsAdaptability

Required

Ability to meet productivity targets in a fast-paced, team-oriented environment
Excellent written and communication skills with the ability to resolve service issues
Possess strong time management and organizational skills
Ability to adapt and flourish using industry-changing workflows
Demonstrates active listening to attentively meet the needs of our customers and exhibit empathy during difficult situations
Demonstrated desire to promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another
Ability to self-manage competing priorities while delivering accurate work within key timelines
Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
HS Diploma required

Preferred

Prior workers' compensation insurance claim handling is preferred
Demonstrated passion for delivering a superb customer experience
Bachelor's Degree is preferred

Benefits

Short-term or annual bonuses
Long-term incentives
On-the-spot recognition

Company

The Hartford

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The Hartford is an industry leading provider of property and casualty insurance, group benefits and mutual funds.

Funding

Current Stage
Public Company
Total Funding
unknown
1995-12-15IPO

Leadership Team

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Christopher Swift
Chief Executive Officer
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Company data provided by crunchbase