Job description
You are a driven and motivated problem solver ready to pursue meaningful work. You strive to make an impact every day & not only at work, but in your personal life and community too. If that sounds like you, then you've landed in the right place.
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. 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.
Responsibilities:
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Effectively manage workers’ compensation claims requiring coverage and compensability investigations as identified from First Notice of Loss in multiple jurisdictions.
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Identify co-morbid conditions/prior conditions that may affect the original or ongoing compensability decision of the claim
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Provide benefit oversight and file disposition appropriate for claim complexity and adherence to statutory guidelines for all claims
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Leverage a network of internal partner resources such as: nurses, utilization review, and subject matter experts to help with disposition of the claim
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Identify and investigate potential fraud red flags, inclusive of referral to SIU
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Provide exceptional customer service by establishing and maintaining productive business relationships with internal and external customers through written and verbal communication
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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
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Leverage contemporary technology to achieve accurate and efficient claim outcomes
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Consistently demonstrate professional diplomacy during all interactions with customers
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Contribute to a courageous culture that promotes collaboration and inclusion to maximize operational performance and employee engagement
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Embrace a culture of continuous improvement
Qualifications:
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Prior workers’ compensation insurance claim handling is preferred
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Demonstrated passion for delivering a superb customer experience
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Ability to meet productivity targets in a fast-paced, team-oriented environment
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Excellent written and communication skills with the ability to resolve service issues
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Possess strong time management and organizational skills
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Ability to adapt and flourish using industry-changing workflows
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Demonstrates active listening to attentively meet the needs of our customers and exhibit empathy during difficult situations
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Demonstrated desire to promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another
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Ability to self-manage competing priorities while delivering accurate work within key timelines
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Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
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HS Diploma required, Bachelor’s Degree is preferred
Additional Details:
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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.
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This is a 100% remote, work from home opportunity
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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, Wifi, 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 visithttp://www.speedtest.netfrom 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:
$44,400 - $66,600
Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
About Us
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Culture & Employee Insights
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Diversity, Equity and Inclusion
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Benefits
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Skills:
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