Sr. Worker's Compensation Claim Representative

  • Company: The Hartford
  • Location: Rancho Cordova, California
  • Posted: November 08, 2017
  • Reference ID: 1702860

This position can be hired at a different tier depending on experience.

The Senior Worker's Compensation Claim Representative is part of a dedicated team of workers' compensation claim professionals, responsible for successfully managing worker's compensation claims. You will have the opportunity to fully engage your exceptional verbal and numerical critical thinking skills; gather information, apply reasoning and draw appropriate conclusions to make sound decisions. The Sr. Work Comp role will also use your knowledge and expertise to:

  • Plan recommend, reserve and execute the investigation, valuation, disposition and settlement of claims for the California jurisdiction
  • Achieve fair, equitable and timely claim dispositions
  • Properly assess the indemnity, medical and expense exposure of assigned claims
  • Set reserves accurately and in a timely manner
  • Accurately resolve coverage and compensability issues
  • Plan, organize and establish priorities, determine realistic completion dates
  • Use services of others appropriately
  • Develop advanced functional knowledge to appropriately interpret and apply insurance coverage
  • Develop technical and jurisdictional expertise
  • Maintain current knowledge of claim loss cost containment initiatives, and use them appropriately and consistently with company practices and procedures
  • Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims
  • Identify fraud indicators and initiate investigation on assigned claims
  • Apply general mathematical knowledge and / or financial analysis to achieve results
  • Handle claim files in a manner consistent with Claim quality standards and goals
  • Dedicate your focus to ensuring our customers have a positive and pleasant experience

  • P&C insurance claim handling experience required
  • Certification exams and adjusting licenses as required by state
  • Outstanding interpersonal skills working within a dedicated, supportive team
  • Strong focus delivering outstanding customer service
  • Demonstrated strong written and verbal communication skills
  • Active listening skills
  • Demonstrated consistent high level of performance and achievement over career span
  • Excellent time management ability
  • Core Communication, Customer Service and Talent DNA Badges preferred for current internal claims staff
  • Strong desire to launch your career to the next level!

We are seeking a Senior Workers' Compensation Claim Representative to work onsite in either our Rancho Cordova, CA, Scottsdale, AZ, Lake Oswego, Las Vegas, NV or Albuquerque, NM office.

Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression

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