Current jobs related to Lost Time Claims Examiner - New Haven - TSR Consulting Services, Inc.
-
Claims Examiner
4 weeks ago
New Haven, Connecticut, United States ICONMA Full timeJob Title: Claims Examiner - Lost Time SpecialistAt ICONMA, we are seeking a skilled Claims Examiner - Lost Time Specialist to join our team. As a Claims Examiner - Lost Time Specialist, you will be responsible for handling all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained...
-
Claims Examiner-Lost Time
1 month ago
New Haven, United States Robert Half Full timeJob DescriptionJob DescriptionWe are inviting applications for a Claims Examiner-Lost Time role based in New Haven, Connecticut. This role resides in the insurance industry and provides an opportunity to work in a hybrid workplace. The position offers a short-term contract employment opportunity and involves handling all aspects of workers' compensation...
-
Claims Examiner-Lost Time
1 month ago
New Haven, United States ICONMA Full timeHandles 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,...
-
Claims Examiner
2 weeks ago
New York, New York, United States Sedgwick Full timeAbout the RoleWe are seeking a skilled Claims Examiner to join our team at Sedgwick. As a Claims Examiner, you will be responsible for analyzing and processing claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...
-
Claims Investigator
4 weeks ago
New Haven, Connecticut, United States ICONMA, LLC Full timeJob SummaryWe are seeking a skilled Claims Examiner-Lost Time to join our team at ICONMA, LLC. As a Claims Examiner-Lost Time, you will be responsible for handling all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process.Key ResponsibilitiesReview claim and...
-
Claims Examiner
2 weeks ago
New York, New York, United States Sedgwick Full timeAbout SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their employees, customers, and assets while minimizing business interruptions.Job SummaryWe are seeking a skilled Claims Examiner to join our team in Syracuse, NY. As a Claims Examiner, you...
-
Claims Examiner
6 days ago
New York, New York, United States Sedgwick Full timeAbout the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team in New York. As a Claims Examiner, you will be responsible for analyzing and processing complex workers' compensation claims, ensuring timely and accurate resolution. Your expertise will be invaluable in helping our clients navigate the claims process and achieve optimal...
-
Insurance Claims Examiner
4 weeks ago
New Haven, Connecticut, United States The Jonus Group Full timeJob Title: Claims SpecialistThe Jonus Group is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for handling bodily injury claims, primarily for General Liability (GL) policies. You will also handle claims for Public Entities in Connecticut.Key Responsibilities:Manage a caseload of 120-130 claims, with a...
-
Senior Claims Examiner
1 month ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. in NYC. As a key member of our Property & Casualty Insurance team, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key...
-
Senior Claims Examiner
4 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in insurance claims handling, with a focus on general liability claims.Key Responsibilities:Examine and adjust general liability claims to...
-
Insurance Claims Examiner
6 days ago
New Haven, Connecticut, United States The Jonus Group Full timeJob Summary:The Jonus Group is seeking a skilled Claims Specialist to handle GL bodily injury claims, with a focus on Auto and Professional Lines. The ideal candidate will have a strong commercial background, with experience in GL non-auto claims and a proven track record in injury evaluation and negotiation.Key Responsibilities:Handle claims for public...
-
Senior Claims Examiner
4 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in insurance claims handling, with a focus on general liability claims.Key Responsibilities:Examine and adjust general liability claims to...
-
Field Claims Examiner
1 week ago
New York, New York, United States Goodville Mutual Casualty Company Full timeJob Summary:Goodville Mutual Casualty Company is seeking a skilled Field Claims Examiner to join our team. As a Field Claims Examiner, you will be responsible for investigating, inspecting, and settling assigned losses. This role requires strong communication and negotiation skills, as well as the ability to work effectively with company computer systems.Key...
-
Senior Claims Examiner
2 weeks ago
New Orleans, LA , USA, United States Crawford & Company Full timeJob Title: Senior Claims ExaminerCrawford & Company is seeking a highly skilled Senior Claims Examiner to join our team. As a Senior Claims Examiner, you will be responsible for investigating and settling advanced, large loss, complex claims promptly and equitably under minimal supervision.Key Responsibilities:Investigate and settle complex claims using...
-
Claims Examiner
2 weeks ago
New Orleans, LA , USA, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a highly skilled Claims Examiner - Liability to join our team. As a Claims Examiner - Liability, you will be responsible for analyzing complex or technically difficult general liability claims to determine benefits due, working with high exposure claims involving litigation and rehabilitation, and ensuring ongoing...
-
Liability Claims Examiner
2 weeks ago
New York, New York, United States GNY Insurance Companies Full timeJob SummaryGNY Insurance Companies is seeking a highly skilled Liability Claims Examiner to join our team. As a key member of our claims team, you will be responsible for handling complex claims associated with GNY Custom book and other select accounts from inception to closure.Key Responsibilities:Conduct thorough investigations and reviews of claims to...
-
Claims Examiner
4 weeks ago
New Orleans, Louisiana, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a highly skilled Claims Examiner - Liability to join our team. As a Claims Examiner - Liability, you will play a critical role in analyzing complex general liability claims, determining benefits due, and ensuring timely and cost-effective claims resolution.Key ResponsibilitiesAnalyze and process complex general liability...
-
Litigation Claims Examiner
6 days ago
New York, New York, United States Brown & Brown Full timeBrown & Brown is a meritocratic company that rewards self-starters and those committed to doing what's best for our customers. We're seeking a Litigation Claims Examiner for our team in New York.The successful candidate will be responsible for adjusting all litigation losses. Key responsibilities include:Coverage assessment and investigationEvaluating and...
-
Senior Claims Examiner
2 weeks ago
New Orleans, LA , USA, United States Crawford & Company Full timeJob SummaryWe are seeking a highly skilled Senior Claims Examiner to join our team at Crawford & Company. As a Senior Claims Examiner, you will be responsible for investigating and settling advanced, large loss, complex claims promptly and equitably under minimal supervision.Key ResponsibilitiesInvestigate and settle claims using independent judgment and...
-
Claims Examiner
2 weeks ago
New Orleans, LA , USA, United States Sedgwick Full timeAbout the RoleWe are seeking a highly skilled Claims Examiner - Liability to join our team at Sedgwick. As a key member of our claims team, you will be responsible for analyzing complex general liability claims, determining benefits due, and ensuring timely and cost-effective claims resolution.Key ResponsibilitiesAnalyze and process complex general liability...
Lost Time Claims Examiner
3 months ago
80190
TSR is a premier National U.S. Staffing company with over 50 years of staffing excellence.
Our client, a leading insurance company is hiring a Lost Time Claims Examiner. Please ONLY local candidates to New Haven CT.
Job Schedule-Hybrid
Job hours-8:30am-5:00pm EST
MUST have 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.
3+ years of Workers' Compensation Lost Time Claim Examiner
Work Location: New Haven CT
Pay: $39-40/hour W2
Required Skills:
- 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
- Ability to prepare and make exceptional presentations to internal and external customers
- Experience working in a customer focused, fast-paced, fluid environment
- 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
- AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required
- Proficiency with Microsoft Office Products
- 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
- 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
- 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
