Workers Compensation Claims Examiner – CT, RI, NH

This is a fully remote position, open to applicants in Connecticut, +10 more states.

📋 Description

• Evaluate Workers Compensation claims on behalf of esteemed clients to ascertain benefits owed.

• Ensure the continuous adjudication of claims meets service expectations, adheres to industry best practices, and aligns with specific client service requirements.

• Analyze and process claims via action plans to achieve timely resolutions.

• Investigate and collect information to assess claim exposure.

• Negotiate claim settlements within the specified authority.

• Communicate claim activities and processing updates to both claimants and clients.

• Report claims to the excess carrier.

• Address requests for guidance in a professional and timely manner.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited college or university is preferred.

• Relevant professional certification as applicable to the line of business is preferred.

• A minimum of 3 years of claims management experience or an equivalent mix of education and experience is required.

• Familiarity with the jurisdictions of MA, CT, RI, NH, PA, and NJ.

• A CT, RI, NH, or reciprocal license is required.

• Knowledge of the VT jurisdiction is an advantage.

• Holding a VT license is a plus.

• Strong analytical and conceptual thinking capabilities.

• Excellent judgment, troubleshooting, problem-solving, analysis, and discretion skills.

• Capacity to manage work-related stress effectively.

• Ability to juggle multiple priorities at the same time.

• Ability to meet deadlines consistently.

• Proficiency in computer keyboarding.

• Adequate hearing, vision, and verbal communication skills.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and promotional growth.

• Medical, dental, and vision benefits.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability and life insurance.

• Employee assistance program.

• Flexible spending account or health savings account.

• Additional voluntary benefits available.

• Flexible work location with autonomy in daily tasks.