- 1. Performs review of new Workers' Compensation claims in order to ensure compensability, proper documentation of injury, completeness of information and determine current medical status.
- 2. Regularly involved in negotiations with claimants, physicians, attorneys and the Commissioner to determine appropriate course of action necessary for efficient claims management or settlement.
- 3. Works directly with medical providers to gather medical information on a necessary basis to ensure the file is complete. Authorizes medical treatment or procedures and based on practiced protocols or within the YNHHS Medical Care Plan.
- 4. Determines most effective method and timing of ongoing follow up to bring cases to closure in order to limit the hospital's exposure. Recommends stipulation amounts and opportunities based on knowledge of the claim development.
- 5. Regularly reviews files to identify potential recoveries from third parties. Takes appropriate action to initiate potential recoveries.
- 6. Monitors progress of all claims activity to ensure proper valuing and case management.
- 7. Calculates and verifies all Workers' Compensation indemnity payments and authorizes medical payments.
- 8. Establish financial reserves with documented rational. Review and adjust the reserves for the life of the claim and to reflect any changes in exposure. Notify and update excess carriers if claim is near or over retention.
- 9. Represents the YNHHS at hearings before the State of Connecticut Compensation Commissioner throughout the State of CT.
- 10. Determines and develops claim information to be presented at WCC hearings.
- 11. Regularly meets with Occupational Health and Wellness Services, departments, and Employee Relations to review employee restrictions and to develop modified duty/return-to-work programs.
- 12. Advises departments on the proper payroll procedure once a claim has been filed to ensure an employee is being paid properly.
- 13. Develops and forwards informational packets to employee, manager and/or physician once a claims file is initiated.
- 14. Develops and maintains appropriate information necessary to document settlement activities, loss control practices, track reserves, develop sound management reports, and meet statutory requirements.
- 15. Remains current on Workers' Compensation trends and impending or new legislation affecting the program.
- 16. Generally supports the efforts of the Compensation and Benefits Department to provide services, information and communication to the general employee population and the Hospital Management Staff.
- 17. Must be able to travel for business purposes and/or attend hearings throughout the State of CT.
-
Workers Compensation Claim Adjuster
4 weeks ago
AmTrust Financial Services, Inc. Connecticut, United StatesOverview · AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Workers Compensation Claim Adjuster. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker's compensa ...
-
Workers' Compensation Lost Time Claim Examiner
2 weeks ago
CHUBB New Haven, United States Regular - Full timeChubb is currently seeking a Workers' Compensation Lost Time Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The po ...
-
Accountancy Manager
3 weeks ago
NEWAGESYS New Haven, United StatesThe Manager, Accounting is responsible for applying generally accepted accounting principles and procedures to analyze financial information, prepare accurate and timely results and to ensure appropriate accounting control procedures.This position will be a key member of a cross- ...
-
Registered Nurse Supervisor
2 weeks ago
Apple Rehab Laurel Woods East Haven, United States Full timeJoin Our Caring Team at Apple Rehab Laurel Woods (Competitive Rates Offered Based on Experience) · Are you passionate about providing exceptional care in a warm, family-oriented environment? Look no further Purposefully crafted, Laurel Woods is tailored to cater to the demands of ...
-
Sr. Liability Claims Adjuster
3 days ago
Connecticut Interlocal Risk Management Agency (CIRMA) New Haven, United StatesIs your ordinary extraordinary? Then you belong at CIRMA. We are looking for a Senior Liability Claims Adjuster to join our liability team. You will provide best in class municipal claims handling to CT's cities and towns, boards of education, and local public agencies. · Diver ...
-
Registered Nurse Supervisor
3 weeks ago
Apple Rehab East Haven, United States Part timeJoin Our Caring Team at Apple Rehab Laurel Woods(Competitive Rates Offered Based on Experience) · Are you passionate about providing exceptional care in a warm, family-oriented environment? Look no further Purposefully crafted, Laurel Woods is tailored to cater to the demands of ...
-
Senior Investment Accountant
3 weeks ago
Knights of Columbus New Haven, United StatesJob description: · Feel Good About Doing GoodThe Knights of Columbus is a tax-exempt Catholic fraternal benefit society that provides financial security to members and their families through our life insurance, long-term care insurance, disability income insurance, investment an ...
-
Accountancy Manager
2 weeks ago
Innova Solutions New Haven, United States Part timeInnova Solutions is immediately hiring for an Accounting Manager · Position: Type: Full Time, Contract · Duration: 06 Months Contract · Location: New Haven, Connecticut 06510 · Note: Part-Time Position, Onsite New Haven, Parking Will Be Reimbursed · Job Description: · The ...
-
Claims Examiner
1 week ago
Chubb New Haven, United StatesJob Description · Chubb is currently seeking a Workers' Compensation Medical Only Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, ...
-
Chubb New Haven, United StatesChubb is currently seeking a Workers' Compensation Claim Technical Assistant for our Northeast, New York, and New Jersey Region. The successful applicant will be providing advanced technical support to our claim representatives and examiners for the jurisdictions of Vermont, New ...
-
Associate Director, Workforce Administration
3 weeks ago
Yale University New Haven, United StatesEssential Duties · 1. Manages the daily operation of a unit, department, or school of the university with emphasis on human resources, information technology, financial reporting, facility planning, research support, and compliance among other functions. 2. Exercises administrati ...
-
Project Estimator
3 weeks ago
Wylander New Haven, United StatesJob Description · Job DescriptionWylander, a recruiting company specializing in the disaster restoration industry, is recruiting a Project Estimator for a full-service restoration company located in New Haven, CT. · Project Estimator Compensation and Benefits: · Competitive Base ...
-
Associate Director, Workforce Administration
3 weeks ago
Yale University New Haven, United StatesEssential Duties · Manages the daily operation of a unit, department, or school of the university with emphasis on human resources, information technology, financial reporting, facility planning, research support, and compliance among other functions. 2. Exercises administrative ...
-
Chubb New Haven, United StatesJob Description · Chubb is currently seeking a Workers' Compensation Lost Time Claim Specialist for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, a ...
-
Accountancy Manager|ALX|US
3 weeks ago
Talent Space New Haven, United StatesTalent Space, Inc. is looking for a Accounting Manager for a Part-Time contract opportunity in New Haven, CT · PARKING WILL BE REIMBURSED · The Manager, Accounting is responsible for applying generally accepted accounting principles and procedures to analyze financial informatio ...
-
Intraoperative Neuromonitoring
6 days ago
Mpower Healthcare New Haven, United StatesOverview · Empowering Careers, Changing Healthcare · For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers for ...
-
Lab Support Specialist
3 weeks ago
PerkinElmer, Inc. New Haven, United StatesResponsibilities · Location New Haven, ConnecticutUS Job ID REQ-052814 · Responsibilities · * To be the first line of support for the scientific community; reporting any concerns and ensuring these are closed out in a timely fashion, i.e., acting as a single point of contact and ...
-
Recruiter
1 week ago
Penn Foster Inc New Haven, United StatesHuman Resources - Staffing, M&P Recruitment 83270BR University Job TitleHuman Resources Representative 2 Bargaining UnitNone - Not included in the union (Yale Union Group) Time TypeFull time Anticipated Number of Hours to be Worked:37.5 Compensation GradeAdministration & Operatio ...
-
Senior DXP Developer
5 days ago
Knights of Columbus New Haven, United StatesPress Tab to Move to Skip to Content Link · Select how often (in days) to receive an alert: · The Knights of Columbus is a tax-exempt Catholic fraternal benefit society that provides financial security to members and their families through our life insurance, long-term care insur ...
-
Service Technician
1 week ago
Mercedes Benz of North Haven North Haven, United StatesJob Description · Job DescriptionJob Summary: · Mercedes Benz of North Haven is seeking a highly skilled and motivated Service Technician to join our used car team. As a used car service technician, you will be responsible for diagnosing and repairing vehicles in accordance with ...
Workers' Compensation Adjuster - New Haven, United States - Yale New Haven Health
Description
Overview:
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, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Has responsibility for performing a variety of duties requiring the regular use of independent judgement to manage and administer assigned Workers' Compensation Claims. Remains current on Workers' Compensation trends and impending or new legislation affecting the program. Provides assistance to staff members in support of other benefit programs.
EEO/AA/Disability/Veteran
Responsibilities:
EDUCATION
Bachelor's degree or equivalent work experience.
EXPERIENCE
Three (3) to five (5) years of experience in handling Workers' Compensation claims requiring a strong working knowledge of Connecticut Workers' Compensation laws.
LICENSURE
Current Connecticut Licensed Claims Adjustor required.
SPECIAL SKILLS
Must be able to work independently with minimal supervision.. Strong Microsoft Office skills especially, Excel. Excellent typing and data entry skills. Ability to make arithmetic calculations and work frequently with figures. Good oral and written communication and interpersonal skills.
PHYSICAL DEMAND
Travel is required 2-3 days per week to/from New London/Norwich/Hartford and other locations outside of greater New Haven.