Workers’ Compensation Senior Claim Representative

Sr Representative Claims - CH08BE We're 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.

The 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.

This role can have a Hybrid or Remote work arrangement.  Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) 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 arrangement, with the expectation of coming into an office as business needs arise.

Start Date: January 19, 2027 Hours: Monday - Friday, core business hours Training: 5 weeks

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 to maximize operational performance and employee engagement
• Embrace a culture of continuous improvement

Qualifications:

• 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, Bachelor's Degree is preferred