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Claims representative • new haven ct

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Claims Examiner

Claims Examiner

Sunrise SystemsNew Haven, Connecticut, United States
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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_more][last_updated.last_updated_30]
Financial Representative

Financial Representative

National Financial Network - GuardianNew Haven, CT, US
[job_card.full_time]
Financial Representative National Financial Network – NYC, Long Island, New Jersey, Connecticut, Pennsylvania, and Boston Overview Are you a self-motivated individual with an entrepreneurial ...[show_more][last_updated.last_updated_30]
Senior Claim Director-Casualty Direct Handle Claims

Senior Claim Director-Casualty Direct Handle Claims

CHUBBNew Haven, CT, United States
[job_card.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_more][last_updated.last_updated_30]
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Insurance Claims Specialist

Insurance Claims Specialist

Diedre Moire Corp.Hamden, Connecticut, United States
[job_card.full_time]
Sr Claims Representative Bodily Injury - Hamden, CT Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily Injury Physical Injury Litigation _.Investigate covera...[show_more][last_updated.last_updated_variable_days]
Sales Representative

Sales Representative

Homeworks EnergyNorth Haven, CT, US
[job_card.full_time]
Sales Representative (Home Energy Specialist).This is a full-time, sales exempt position.This position provides in-depth paid training when you begin your career here at HWE.This is a commission-ba...[show_more][last_updated.last_updated_30]
Patient Service Representative

Patient Service Representative

ZOLL LifeVestShelton, CT, United States
[job_card.full_time]
Position Title : Patient Service Representative (PSR).Remote independent contract worker position.Flexibility - work around your schedule. The Cardiac Management Solutions division of ZOLL Medical Co...[show_more][last_updated.last_updated_30]
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180 Recruiter (Claims)

180 Recruiter (Claims)

Talent ShoreNew Haven, CT, US
[job_card.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_more][last_updated.last_updated_30]
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Claims Examiner - New Haven, CT

Claims Examiner - New Haven, CT

StaffingNew Haven, CT, US
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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_more][last_updated.last_updated_30]
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Senior Manager, Strategy & Operations (Claims Pod)

Senior Manager, Strategy & Operations (Claims Pod)

HeadwayNew Haven, CT, US
[job_card.full_time]
Senior Manager, Strategy & Operations (Claims Pod).Headway's mission is a big one to build a new mental health care system everyone can access. We've built technology that helps people find great t...[show_more][last_updated.last_updated_variable_days]
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Sales Representative

Sales Representative

Power Home RemodelingMilford, CT, US
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Power is where hustle meets purpose.It’s where leadership opportunities, life-enhancing benefits, and award-winning culture come together. Why? Because our people are our most important asset....[show_more][last_updated.last_updated_variable_hours]
Customer Representative

Customer Representative

InspiredNew Haven, Connecticut, USA
[job_card.full_time]
About the job Travel customer representative.As a Travel Customer Representative you will play a key role in supporting our clients throughout their travel journey from the moment they book to the ...[show_more][last_updated.last_updated_variable_days]
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Outside Sales Representative

Outside Sales Representative

Platinum Supplemental InsuranceShelton, Connecticut, United States
[job_card.full_time]
Ready to jump-start your career and take charge of your earning potential?.At Platinum Supplemental Insurance, we’re looking for motivated individuals ready to learn, grow, and thrive in a fast-pac...[show_more][last_updated.last_updated_variable_days]
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Member Service Representative

Member Service Representative

Planet FitnessMilford, CT, US
[job_card.full_time]
Member Services Representative.The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness m...[show_more][last_updated.last_updated_30]
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Retail Representative

Retail Representative

SAS Retail ServicesShelton, Connecticut, us
[job_card.full_time]
We want you to help us shape the future of shopping experiences and deliver on our purpose of connecting people with the products and experiences that enrich their lives. Joining SAS Retail Services...[show_more][last_updated.last_updated_variable_days]
Claims Examiner-Lost Time

Claims Examiner-Lost Time

Sunrise Systems, Inc.New Haven, CT
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Job Title : Claims Examiner-Lost Time.Location : 555 Long Wharf Drive, New Haven CT USA 06511-5941.Duration : 3 months (Temp to Perm). Position Type : Hourly contract Position (W2 only).Workers’ Compens...[show_more][last_updated.last_updated_1_day]
Claims Processor - Insurance

Claims Processor - Insurance

NR ConsultingNew Haven, CT
[job_card.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_more][last_updated.last_updated_variable_days]
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Claims Examiner-Lost Time

Claims Examiner-Lost Time

Comptech AssociatesNew Haven, CT, United States
[job_card.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_more][last_updated.last_updated_variable_days]
Claims Examiner-Lost Time

Claims Examiner-Lost Time

ICONMANew Haven, CT
[job_card.full_time]
Our Client, a Global Insurance company, is looking for a Claims Examiner-Lost Time for their New Haven, CT location.Handles all aspects of workers’ compensation lost time claims from set-up to case...[show_more][last_updated.last_updated_30]
Independent Insurance Claims Adjuster in Hamden, Connecticut

Independent Insurance Claims Adjuster in Hamden, Connecticut

MileHigh Adjusters Houston IncHamden, CT, US
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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_more][last_updated.last_updated_30]
Claims Examiner

Claims Examiner

Sunrise SystemsNew Haven, Connecticut, United States
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[job_card.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