Workers' Compensation Claim Administrator

Administrator Claims - CH10EN Were 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. 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 claims 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, Bachelors 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 Hartfords 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: $51,769 - $77,653 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us | Our Culture | What Its Like to Work Here | Perks & Benefits Every day, a day to do right. Showing up for people isnt just what we do. Its who we are and have been for more than 200 years. Were devoted to finding innovative ways to serve our customers, communities and employeescontinually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, its these values that drive all of us to do more and to do better every day. About Us Our Culture What Its Like to Work Here Perks & Benefits Legal Notice Accessibility Statement Producer Compensation EEO Privacy Policy California Privacy Policy Your California Privacy Choices International Privacy Policy Canadian Privacy Policy Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice Hartford India Prospective Personnel Privacy Notice Electronic Monitoring Policy