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Claims assistant Jobs in New Haven, CT

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Claims assistant • new haven ct

Last updated: 1 day ago
Claims Examiner

Claims Examiner

Sunrise SystemsNew Haven, Connecticut, United States
Full-time
Quick Apply
Job Title : Claims Examiner - Lost Time.Duration : 6 months with possibility of extension.Position Type : Hourly contract Position (W2 only). The position will report and reside in our New Haven, Conne...Show moreLast updated: 30+ days ago
Senior Claim Director-Casualty Direct Handle Claims

Senior Claim Director-Casualty Direct Handle Claims

CHUBBNew Haven, CT, United States
Full-time
This is a role focused on technical claim handling for Chubb’s Commercial Direct Handle Claims Team.In this role you will manage complex auto and general liability claims, both litigated and non-li...Show moreLast updated: 26 days ago
Anesthesiologist Assistant?

Anesthesiologist Assistant?

Yale New Haven HealthMilford, CT, US
Full-time
To be part of our organization, every employee should understand and share in the Yale New Haven Health System Vision, support our Mission, and live our Values. These values - integrity, patient-cen...Show moreLast updated: 30+ days ago
  • Promoted
Claims Processor - Insurance

Claims Processor - Insurance

Knights of Columbus 1039New Haven, CT, US
Full-time
Location : New Haven, CT, US, 06510.The Knights of Columbus is a tax-exempt Catholic fraternal benefit society that provides financial security to members and their families through our life insuran...Show moreLast updated: 13 days ago
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCNew Haven, Connecticut, United States
Full-time
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...Show moreLast updated: 30+ days ago
  • Promoted
Claims Representative - Workers Compensation - Remote CO

Claims Representative - Workers Compensation - Remote CO

SedgwickNew Haven, CT, US
Remote
Full-time
Claims Representative - Workers Compensation - Remote CO.By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world w...Show moreLast updated: 2 days ago
  • Promoted
Claims Coordinator

Claims Coordinator

The Rawlings GroupNew Haven, CT, US
Full-time
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans.Deployed by over 75 heal...Show moreLast updated: 4 days ago
  • Promoted
Claims Construction, Professional Liability Claims (Senior or AVP level)

Claims Construction, Professional Liability Claims (Senior or AVP level)

Zurich Insurance CompanyNew Haven, CT, US
Full-time
Claims Construction, Professional Liability Claims (Senior Or AVP Level).Zurich North America is expanding its nationwide Construction Professional Liability Claims Team with the addition of a dedi...Show moreLast updated: 5 days ago
Insurance Claims Specialist

Insurance Claims Specialist

Flex-TeamOrange, CT
Permanent
Lingo Staffing is looking to hire an experienced Accident Insurance Claims Specialist for a construction supply company located in Wallingford, CT!. Starting at 25$+ / hour depending on experience.Th...Show moreLast updated: 30+ days ago
  • Promoted
Veterinary Assistant

Veterinary Assistant

VCA Animal HospitalsShelton, CT, US
Full-time
VCA Shoreline Veterinary Referral And Emergency Center Hiring A Full Time Veterinary Assistant.VCA Shoreline Veterinary Referral and Emergency Center is hiring a full time Veterinary Assistant to j...Show moreLast updated: 30+ days ago
Physician Assistant

Physician Assistant

Yale New Haven Health Urgent CareBranford, CT, US
Full-time
Exciting Opportunity at a Brand New Facility!.We are thrilled to announce the opening of a brand new Yale New Haven Health Urgent Care facility in Branford, CT. We are seeking a dedicated provider t...Show moreLast updated: 6 days ago
  • Promoted
Claims Examiner - New Haven, CT

Claims Examiner - New Haven, CT

StaffingNew Haven, CT, US
Full-time
Location : New Haven, CT Position Type : Contract Rate : DOE Description : Workers' Compensation Medical Only Examiner.Connecticut License preferred, NY, NJ will be considered.Responsibilities : Deliver...Show moreLast updated: 29 days ago
  • Promoted
Business Office Assistant / Administrative Assistant

Business Office Assistant / Administrative Assistant

Arc of Greater New HavenNorth Haven, CT, US
Part-time
Location : 109 Sanford Street, Hamden, CT, USA.Show moreLast updated: 8 days ago
  • Promoted
Underwriting Assistant

Underwriting Assistant

MSIG HoldingsNew Haven, CT, US
Full-time
Underwriting Support Specialist.MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc.P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ cou...Show moreLast updated: 4 days ago
Assistant Manager

Assistant Manager

WalmartMilford, CT, USA
Full-time
Join the Walmart team as an Assistant Manager and help us lead our store to success.As an AM, you will assist with hiring, training, and managing staff, oversee store operations, and ensure that cu...Show moreLast updated: 5 days ago
  • Promoted
Intern- Claims (Worker's Compensation)

Intern- Claims (Worker's Compensation)

EMC Insurance CompaniesNew Haven, CT, US
Full-time
Explore a variety of careers in insurance with EMC! By participating in our paid intern program, you'll develop industry-related knowledge, enhance skills that are transferable to any professional ...Show moreLast updated: 5 days ago
  • Promoted
Interstate Tractor Trailer Bodily Injury Claims AdjusterRemote Atlanta, Georgia, United States

Interstate Tractor Trailer Bodily Injury Claims AdjusterRemote Atlanta, Georgia, United States

ReservNew Haven, CT, US
Full-time
Interstate Tractor Trailer Bodily Injury Claims Adjuster.Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims.Founde...Show moreLast updated: 5 days ago
  • Promoted
Assistant Manager

Assistant Manager

SnipesWest Haven, CT, US
Full-time
We live sneakers, streetwear, and neighborhood culture! All Day! Every Day!.With more than 750 stores in Europe and the USA, SNIPES is one of the leading sneaker and streetwear retailers worldwide....Show moreLast updated: 30+ days ago
Sales Assistant

Sales Assistant

Bluevale CapitalShelton, Connecticut, USA
Full-time
Bluevale Capital is a boutique real-estate private-equity firm that specializes in value-add development and special-situation multi-residential projects. Over the past two years the firm has comple...Show moreLast updated: 1 day ago
People also ask
Claims Examiner

Claims Examiner

Sunrise SystemsNew Haven, Connecticut, United States
30+ days ago
Job type
  • Full-time
  • Quick Apply
Job description

Job Title : Claims Examiner - Lost Time

Location : New Haven, CT 06511

Duration : 6 months with possibility of extension

Position Type : Hourly contract Position (W2 only)

Note :

  • Job Schedule-Hybrid
  • The position will report and reside in our New Haven, Connecticut office on a 3 / 2 Hybrid Model.
  • Job hours-8 : 30am-5 : 00pm EST
  • 3+ years of Workers' Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in worker's compensation is not a requirement but a nice thing to have, as long as the skills they do have are transferable.)

Duties and Responsibilities :

  • Handles all aspects of workers' compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.
  • Reviews claim and policy information to provide background for investigation.
  • Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and medical providers.
  • Evaluates the facts gathered through the investigation to determine compensability of the claim.
  • Informs insureds, claimants and attorneys of claim denials when applicable.
  • Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
  • Timely administration of statutory medical and indemnity benefits throughout the life of the claim.
  • Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team
  • Leader throughout the life of the claim.
  • Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.
  • Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.
  • Works with attorneys to manage hearings and litigation
  • Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.
  • Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews.
  • Files workers' compensation forms and electronic data with states to ensure compliance with statutory regulations.
  • Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
  • Works with in-house Technical Assistants, Special Investigators, Nurse
  • Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.
  • 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 Chubb'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