Sr Claim Representative
Below are the position details for your reference:
Position Title: Claim Representative / Sr. Claim Representative
Location: Remote / Hartford, CT; Lake Mary, FL; San Antonio, TX; Naperville, IL; Scottsdale, AZ (3 days onsite TueThu)
Duration: 6+ Months
Pay Rate: $30 - 32/Hr on W2 without benefits
Overview: This position can be filled as a Claim Representative or Sr. Claim Representative based on experience. The Workers Compensation Claim / Sr. Claim Representative is accountable for planning, recommending, and executing the investigation of workers compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the representatives will work within established procedures in adherence to statutory, regulatory and ethical requirements.
Responsibilities:
Effectively manage workers compensation claims requiring timely
investigations and financial accuracy
Provide benefit oversight, appropriate file disposition and adherence to statutory guidelines for all claims
Leverage a network of professional resources that may include:
doctors, nurses, attorney and regulators to facilitate our mission of
restoring the lives of our claimants
Provide exceptional customer service by establishing and maintaining productive business relationships with customers
Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions
Provide accurate mathematical calculations of disability benefit rates and claim financial exposures
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:
Claim Representative:
Prior workers compensation insurance claim handling is preferred
HS Diploma required, Bachelors Degree is preferred
Demonstrated passion for delivering a superb customer experience
Excellent organizational skills, especially regarding prioritizing work activities
Strong computer proficiency in the MS Office Suite (Word, Excel,
Outlook & PowerPoint)
Superb time management and organizational skills
Ability to meet productivity targets in a fast-paced, team-oriented
environment
Excellent communication skills and negotiation skills
Ability to adapt and flourish using industry-changing workflows
Excellent written and verbal communication skills
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
Sr. Claim Representative:
Minimum of 2+ years of experience in Workers' Compensation claim handling required
Certification exams and adjusting licenses as required by state
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, Bachelors Degree is preferred
Additional Details:
This role can have a Hybrid or Remote work schedule. Candidates
who live near one of our office locations (***, CT, Lake Mary, FL, San Antonio, TX, Naperville, IL or Scottsdale, 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.
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 *** is contingent upon the
successful passage of the Licensing exam within 1 year from your date of hire.
Position Title: Claim Representative / Sr. Claim Representative
Location: Remote / Hartford, CT; Lake Mary, FL; San Antonio, TX; Naperville, IL; Scottsdale, AZ (3 days onsite TueThu)
Duration: 6+ Months
Pay Rate: $30 - 32/Hr on W2 without benefits
Overview: This position can be filled as a Claim Representative or Sr. Claim Representative based on experience. The Workers Compensation Claim / Sr. Claim Representative is accountable for planning, recommending, and executing the investigation of workers compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the representatives will work within established procedures in adherence to statutory, regulatory and ethical requirements.
Responsibilities:
Effectively manage workers compensation claims requiring timely
investigations and financial accuracy
Provide benefit oversight, appropriate file disposition and adherence to statutory guidelines for all claims
Leverage a network of professional resources that may include:
doctors, nurses, attorney and regulators to facilitate our mission of
restoring the lives of our claimants
Provide exceptional customer service by establishing and maintaining productive business relationships with customers
Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions
Provide accurate mathematical calculations of disability benefit rates and claim financial exposures
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:
Claim Representative:
Prior workers compensation insurance claim handling is preferred
HS Diploma required, Bachelors Degree is preferred
Demonstrated passion for delivering a superb customer experience
Excellent organizational skills, especially regarding prioritizing work activities
Strong computer proficiency in the MS Office Suite (Word, Excel,
Outlook & PowerPoint)
Superb time management and organizational skills
Ability to meet productivity targets in a fast-paced, team-oriented
environment
Excellent communication skills and negotiation skills
Ability to adapt and flourish using industry-changing workflows
Excellent written and verbal communication skills
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
Sr. Claim Representative:
Minimum of 2+ years of experience in Workers' Compensation claim handling required
Certification exams and adjusting licenses as required by state
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, Bachelors Degree is preferred
Additional Details:
This role can have a Hybrid or Remote work schedule. Candidates
who live near one of our office locations (***, CT, Lake Mary, FL, San Antonio, TX, Naperville, IL or Scottsdale, 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.
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 *** is contingent upon the
successful passage of the Licensing exam within 1 year from your date of hire.
