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Claims investigator Jobs in New Haven, CT

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Claims investigator • 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: 30+ days ago
  • Promoted
Clinical Risk Investigator

Clinical Risk Investigator

Yale New Haven HealthNew Haven, CT, US
Full-time
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, account...Show moreLast updated: 13 days ago
Claims Examiner

Claims Examiner

BCForwardNew Haven, CT, US
Full-time
Job Title : Claims Examiner- Lost Time.Expected Duration : 3+ months to start off.Shift : Monday through Friday (8 : 30 am-5 : 00 pm EST). Workers’ Compensation Lost Time Claim Examiner or Commensura...Show moreLast updated: 16 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
Federal Protective Investigator (Hiring Immediately)

Federal Protective Investigator (Hiring Immediately)

The United States Secret ServiceNew Haven, CT, United States
Full-time
Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. Click apply for complete details on the recruitment incentive detail...Show moreLast updated: 5 days ago
  • Promoted
180 Recruiter (Claims)

180 Recruiter (Claims)

Talent ShoreNew Haven, CT, US
Full-time
Our client is a recruitment business with international reach, specialising in the mid-to-senior level of the insurance, financial services, and technology markets. A common purpose drives us : to ma...Show moreLast updated: 29 days ago
Insurance Claims Environmental

Insurance Claims Environmental

Diedre Moire Corp.Shelton, CT, US
Full-time
Insurance Defense Pollution Claims - Shelton, CT Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _.REMOTE WORK FROM HOME AVA...Show moreLast updated: 23 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: 30+ days ago
Independent Insurance Claims Adjuster in Seymour, Connecticut

Independent Insurance Claims Adjuster in Seymour, Connecticut

MileHigh Adjusters Houston IncSeymour, CT, US
Full-time
Quick Apply
IS IT TIME FOR A CAREER CHANGE?.INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!.Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster?.This is you...Show moreLast updated: 30+ days ago
  • Promoted
Technical Claims Manager Direct [2]

Technical Claims Manager Direct [2]

CompreNew Haven, CT, US
Full-time
Technical Claims Manager Direct.Technical Claims Manager Direct US Hybrid, two days in office / remote East Coast (preferred) Full-Time We are a fast-growing global reinsurance speciality company...Show moreLast updated: 30+ days ago
Claims Processor - Insurance

Claims Processor - Insurance

NR ConsultingNew Haven, CT
Full-time
Processes death claims for life and annuity products and life riders for all products; terminates policies, creates coverages for secondary insureds upon death of primary insured, calculates value ...Show moreLast updated: 4 days ago
Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)

Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)

MercorNew Haven, Connecticut, US
Remote
Full-time
Role Overview • •Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—...Show moreLast updated: 1 day ago
  • Promoted
Claims Examiner-Lost Time

Claims Examiner-Lost Time

Comptech AssociatesNew Haven, CT, United States
Full-time
Job Title : Claims Examiner-Lost Time.Location : New Haven, CT (Onsite).Workers’ Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in workers’ compensation is not a ...Show moreLast updated: 10 days ago
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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