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Claims Examiner-Lost Time
Claims Examiner-Lost TimeComptech Associates • New Haven, CT, US
Claims Examiner-Lost Time

Claims Examiner-Lost Time

Comptech Associates • New Haven, CT, US
6 days ago
Job type
  • Full-time
Job description

Job Title : Claims Examiner-Lost Time

Location : New Haven, CT (Onsite)

Duration : 3+ Months (CTH)

3+ years of Workers' Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in workers' compensation is not a requirement, but a nice thing to have, as long as the skills they do have are transferable.)

Technical Skills & Competencies :

  • Lost Time Claim Examiner position with prior experience in workers' compensation as a medical only examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability or as a claim technical assistant for lost time claims.
  • Requires knowledge of workers' compensation statutes, regulations and compliance.
  • Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.
  • Exceptional customer service and focus.
  • Ability to openly collaborate with leadership and peers to accomplish goals.
  • Demonstrates a commitment to a career in claims.
  • Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.
  • Use analytical skills to find mutually beneficial solutions to claim and customer issues.
  • Ability to prepare and make exceptional presentations to internal and external customers.
  • Conscientious about the quality and professionalism of work product and relationships with co-workers and clients.
  • Willing to take ownership and tackle obstacles to meet Client's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
  • Superior verbal and written communication skills.

Experience, Education & Requirements :

  • Experience working in a customer-focused, fast-paced, fluid environment
  • Experience utilizing strong communication and telephonic skills
  • Prior experience requiring a high level of organization, follow-up, and accountability
  • Prior workers' compensation claim handling experience is a plus, but not required
  • Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability) is a plus but not required
  • Prior insurance, legal or corporate business experience is a plus but not required
  • AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required
  • Proficiency with Microsoft Office Products
  • Knowledge of medical terminology is a plus but not required
  • Knowledge of bill processing is a plus but not required
  • Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island and Vermont, are necessary; however, they are not required at the time of posting for the position. - If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure
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