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Workers' Compensation Claim Representative/Senior Claim Representative
The Hartford. Plan, recommend, and execute investigations of workers’ compensation claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing workers' compensation claims with a focus on timely investigations, financial accuracy, and adherence to statutory guidelines. Proficient in leveraging professional resources and technology to enhance claimant recovery and operational performance.
Highest-signal resume keywords
Workers' Compensation Claim HandlingData Analysis for Claim DecisionsCustomer Experience DeliveryMS Office Suite ProficiencyAdjusting Licenses as Required by State
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Investigation PlanningFinancial Accuracy CalculationDisability Benefit Rate CalculationFile Disposition ManagementStatutory Guideline Adherence
Soft Skills
Professional DiplomacyOrganizational SkillsTime ManagementNegotiation SkillsActive Listening
Tools & Technologies
Contemporary Technology for ClaimsMS Office Suite
Certifications & Qualifications
Adjusting Licenses as Required by State
Industry Keywords
Workers' CompensationClaim RepresentativeCustomer RelationshipsContinuous ImprovementOperational Performance
About the role
Key responsibilities & impact- Plan, recommend, and execute investigations of workers’ compensation claims
- Manage workers’ compensation claims requiring timely investigations and financial accuracy
- Provide benefit oversight, appropriate file disposition, and adherence to statutory guidelines
- Leverage doctors, nurses, attorneys, regulators, and other professional resources to facilitate claimant recovery
- Establish and maintain productive business relationships with customers
- Gather and analyze data to inform critical claim decisions
- Calculate disability benefit rates and claim financial exposures accurately
- Use contemporary technology to achieve accurate and efficient claim outcomes
- Demonstrate professional diplomacy during customer interactions
- Collaborate to maximize operational performance and employee engagement
- Embrace continuous improvement
Requirements
What you’ll need- HS Diploma required
- Bachelor’s degree is preferred
- Sr. Claim Representative: minimum of 2+ years of experience in workers' compensation claim handling required
- Certification exams and adjusting licenses as required by state
- Prior workers' compensation insurance claim handling is preferred for Claim Representative
- Demonstrated passion for delivering a superb customer experience
- Excellent organizational, time management, communication, negotiation, and interpersonal skills
- Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
- Ability to meet productivity targets in a fast-paced, team-oriented environment
- Ability to adapt and flourish using industry-changing workflows
- Active listening and empathy during difficult situations
- Ability to self-manage competing priorities while delivering accurate work within key timelines
- Demonstrated consistent high level of performance and achievement over career span
Benefits
Comp & perks- Short-term or annual bonuses
- Long-term incentives
- On-the-spot recognition
- Hybrid or 100% remote work arrangement
- 5 weeks of training