Workers' Compensation Claim Administrator

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Workers’ Compensation Claim Administrator

The Workers’ Compensation Claim Administrator role will work within established procedures in adherence to statutory, regulatory, and ethical requirements.  Our dynamic team of claim professionals provide superb customer service with the valuation, and disposition of claims while adhering to our corporate claim’s excellence polices.

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

Qualifications:

• Prior workers’ compensation insurance claim handling is preferred
• HS Diploma required, Bachelor’s Degree is preferred
• 2+ years of customer service experience preferred
• 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
• 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)

Additional Details:

• 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.

Work Arrangement:

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

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