Senior Claims Representative, Workers' Compensation
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Job Description
Senior claims representative managing California workers’ compensation investigations, settlements, and benefits for insurance company The Hartford. Providing accurate, compliant claim decisions and customer service remotely.
Responsibilities:
- Plan, recommend, and execute investigations of workers' compensation claims
- Manage workers' compensation claims requiring timely investigations and financial accuracy
- Provide benefit oversight, appropriate file disposition, and adherence to statutory guidelines
- Leverage doctors, nurses, attorneys, and regulators to facilitate claimants' recovery
- Establish and maintain productive business relationships with customers
- Gather and analyze data to inform claim decisions
- Calculate disability benefit rates and claim financial exposures
- Use contemporary technology to achieve accurate and efficient claim outcomes
- Demonstrate professional diplomacy during customer interactions
- Contribute to collaboration, operational performance, and employee engagement
- Embrace continuous improvement
Requirements:
- Minimum of 2+ years of experience in workers' compensation claim handling required
- Certification exams and adjusting licenses as required by state
- CA Self Insured License strongly preferred
- 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
- Candidates must reside in the state of California
- Monday - Friday, core business hours availability
Benefits:
- 100% remote work
- Short-term or annual bonuses
- Long-term incentives
- On-the-spot recognition
- 5 weeks of training
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