Workers' Compensation Claims Specialist
1 week ago
We are seeking a highly skilled Workers' Compensation Claims Specialist to join our team at Yale New Haven Health. The ideal candidate will have a strong working knowledge of Connecticut Workers' Compensation laws and be able to work independently with minimal supervision.
Key Responsibilities- Review new Workers' Compensation claims to ensure compensability and proper documentation of injury.
- Negotiate with claimants, physicians, attorneys, and the Commissioner to determine the best course of action for efficient claims management or settlement.
- Work with medical providers to gather medical information and authorize medical treatment or procedures.
- Determine the most effective method and timing of ongoing follow-up to bring cases to closure and limit hospital exposure.
- Identify potential recoveries from third parties and take appropriate action to initiate recoveries.
- Monitor progress of all claims activity to ensure proper valuing and case management.
- Calculate and verify Workers' Compensation indemnity payments and authorize medical payments.
- Establish financial reserves with documented rationale and review and adjust reserves for the life of the claim.
- Represent Yale New Haven Health at hearings before the State of Connecticut Compensation Commissioner.
- Bachelor's degree or equivalent work experience.
- Three to five years of experience in handling Workers' Compensation claims.
- Current Connecticut Licensed Claims Adjustor required.
- Strong Microsoft Office skills, especially Excel, and excellent typing and data entry skills.
- Ability to make arithmetic calculations and work frequently with figures.
- Good oral and written communication and interpersonal skills.
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Workers' Compensation Claims Specialist
2 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Title: Workers' Compensation Claims SpecialistYale New Haven Health is seeking a highly skilled Workers' Compensation Claims Specialist to join our team. As a key member of our Compensation and Benefits Department, you will be responsible for managing and administering Workers' Compensation claims, ensuring compliance with Connecticut Workers'...
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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...
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Insurance Claims Specialist
2 weeks ago
New Haven, Connecticut, United States The Jonus Group Full timeJob Description:The Jonus Group is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for handling GL bodily injury claims, with a focus on commercial liability and public entity claims in Connecticut.Key Responsibilities:Handle claims for public entities in Connecticut, including injury evaluation and...
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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...
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Insurance Claims Examiner
3 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...
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Insurance Claims Examiner
4 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...
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Claims Adjuster
2 weeks ago
New Haven, Connecticut, United States Flex Employee Services Full timeLiability Claims Adjuster Job DescriptionFlex Employee Services is seeking a skilled Liability Claims Adjuster to join our team. As a key member of our claims handling team, you will be responsible for managing a pending case load of varying complexity across several lines of business, including auto liability, general liability, and professional lines...
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Compensation Specialist
4 weeks ago
New Haven, Connecticut, United States Yale University Full timeJob SummaryWe are seeking a highly skilled Compensation Consultant and Analyst to join our team at Yale University. The successful candidate will be responsible for analyzing, designing, and administering compensation programs that align with university objectives for recruiting, retention, and employee engagement.Key ResponsibilitiesAnalyze and design...
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Insurance Claims Specialist
2 weeks ago
New London, Connecticut, United States Allstate Exteriors Full timeAbout Allstate ExteriorsWe are a leading roofing contractor dedicated to delivering high-quality roofing solutions and exceptional customer service. Our team is passionate about providing expert support to our clients and insurance partners.Job SummaryThe Insurance Specialist will play a critical role in supporting our roofing projects by working closely...
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Xactimate Claims Specialist
3 days ago
New London, Connecticut, United States Allstate Exteriors Full timeAbout Us:Allstate Exteriors LLC is a leading roofing contractor dedicated to delivering high-quality roofing solutions and exceptional customer service. We pride ourselves on our expertise and integrity, and we're looking for a skilled professional to handle all of our Xactimate claims.Job Summary:The successful candidate will play a crucial role in...
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Xactimate Claims Specialist
4 days ago
New London, Connecticut, United States Allstate Exteriors Full timeAbout Us:Allstate Exteriors LLC is a leading roofing contractor dedicated to delivering high-quality roofing solutions and exceptional customer service. We pride ourselves on our expertise and integrity, and we're looking for a skilled professional to handle all of our Xactimate claims.Job Summary:The Insurance Supplement Coordinator will play a crucial role...
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Medical Billing Specialist
1 week ago
New Haven, Connecticut, United States CareMedica Full timeMedical Billing SpecialistWe are seeking a skilled Medical Billing Specialist to join our team at CareMedica. The ideal candidate will have previous billing experience and be organized and detailed oriented. Key responsibilities include:Managing medical billing processesEnsuring accurate and timely submission of claimsProviding excellent customer...
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Clinical Social Worker Specialist
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeClinical Social Worker Job Description **Overview** At Yale New Haven Health, we are committed to providing exceptional patient care and promoting a culture of excellence. As a Clinical Social Worker, you will play a vital role in our interdisciplinary teams, working collaboratively with healthcare professionals to deliver high-quality care to our...
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Clinical Social Worker Specialist
2 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Title: Clinical Social WorkerJob Summary:The Clinical Social Worker is a licensed, experienced professional who serves as the clinical expert in the assessment and treatment of patients, families, and social work consultation to interdisciplinary teams in various inpatient and ambulatory settings within the Yale New Haven Health System.Key...
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Clinical Social Worker Specialist
4 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Title: Clinical Social WorkerAt Yale New Haven Health, we are seeking a highly skilled Clinical Social Worker to join our team. As a key member of our interdisciplinary team, you will play a vital role in providing exceptional patient care and support.Job Summary:The Clinical Social Worker will be responsible for assessing and treating patients,...
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Clinical Social Worker Specialist
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Title: Clinical Social WorkerOverview:At Yale New Haven Health, we are committed to providing exceptional patient care and service. As a Clinical Social Worker, you will play a vital role in our interdisciplinary teams, working collaboratively with healthcare professionals to deliver high-quality care to our patients.Responsibilities:Diagnostic...
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Licensed Clinical Social Worker
2 weeks ago
New Haven, Connecticut, United States Benchmark Human Services Full timeAbout the RoleBenchmark Human Services is seeking a highly skilled Licensed Clinical Social Worker to join our team as an Early Intervention Specialist. In this role, you will work with children and families to provide early intervention services and support their development.Key ResponsibilitiesConduct evaluations and assessments to identify children's...
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Clinical Social Worker
4 days ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryThe Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key ResponsibilitiesDiagnostic assessment and...
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Clinical Social Worker
2 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryThe Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key Responsibilities:Diagnostic assessment,...
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Clinical Social Worker
4 days ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Summary:The Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key Responsibilities:Diagnostic assessment and...