Senior Claims Representative, Workers' Compensation

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.   

This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California.

As a Senior Workers' Compensation Claim Representative, you are at the front lines for our customer. Your primary role is to investigate and manage claim files to help individuals and businesses prevail after a claim. The Hartford will provide you with paid training, as well as ongoing coaching and development to ensure your success.

Responsibilities:

• Handle higher complexity Workers’ Compensation claims requiring timely investigations, financial accuracy, effective benefit oversight, appropriate file disposition, and adherence to statutory guidelines.

• Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies and procedures, and statutory, regulatory and ethics requirements

• Manage caseload/claims within established performance standards

• Establish and maintain effective relationships with customers, gaining their trust and respect

• Be responsible for successfully managing Workers' Compensation claims

• Fully engage your exceptional verbal and numerical critical thinking skills; gather information, apply reasoning and draw appropriate conclusions to make sound decisions

• Plan recommend, reserve and execute the investigation, valuation, disposition and settlement of claims

• Achieve fair, equitable and timely claim dispositions

• Properly assess the indemnity, medical and expense exposure of assigned claims

• Set reserves accurately and in a timely manner

• Accurately resolve coverage and compensability issues

• Plan, organize and establish priorities, determine realistic completion dates

• Develop technical and jurisdictional expertise

• Maintain current knowledge of claim loss cost containment initiatives and use them appropriately and consistently with company practices and procedures

• Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims

• Identify fraud indicators and initiate investigation on assigned claims

• Apply general mathematical knowledge or financial analysis to achieve results

Qualifications:

• 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

• Excellent time management skills with the ability to manage competing priorities

• HS Diploma required, Bachelor’s Degree is preferred

• CA Self Insured License preferred

Additional Information:

• This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California.

• As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam within 1 year from your date of hire.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

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