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.
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. At The Hartford, we respect our employees for their unique perspectives, ideas, and solutions. We empower individuals and teams to invent faster, smarter ways of meeting customers’ needs while improving our performance.
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) 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 arrangement, with the expectation of coming into an office as business needs arise.
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
Qualifications:
Prior workers’ compensation insurance claim handling is preferred
Demonstrated passion for delivering a superb customer experience
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, Bachelor’s Degree is preferred
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.
For full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.
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:
$48,080 - $72,120Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
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