- Independently 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
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Claims Examiner
2 days ago
Combined Insurance New Haven, United StatesChubb 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, and New Jersey. The ...
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Claims Examiner
2 days ago
Chubb New Haven, United StatesChubb 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, and New Jersey. The ...
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Claims Examiner
4 days ago
JCW Connecticut, United StatesJCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add a claims examiner. The ideal candidate will have experience commercial general liability or professional liability claims. · Responsibilities: · investigation, ...
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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 ...
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Tpa Claims Examiner
3 weeks ago
Schifrin, Gagnon, & Dickey, Inc. Norwalk, United StatesAre you a detail-oriented and enthusiastic claims professional? Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for our clients. This position requires excellent c ...
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Chubb New Haven, United StatesChubb 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, and New Jersey. The ...
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Workers' Compensation Lost Time Claim Examiner
2 weeks ago
Chubb New Haven, United StatesJob Description · Chubb 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 ...
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Workers' Compensation Lost Time Claim Examiner
3 weeks ago
Chubb New Haven, United StatesChubb 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 ...
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Senior Claims Examiner
3 weeks ago
JCW Connecticut, United StatesJCW is currently recruiting on behalf of a rapidly growing Property & Casualty Agency who are looking to add an experienced claims examiner to their team. · Qualifications: · 5+ years of experience in General liability claims. · All lines property/casualty adjuster's license. · E ...
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Tpa Claims Examiner
2 weeks ago
Schifrin, Gagnon, & Dickey, Inc. Norwalk, United StatesJob Description · Job DescriptionAre you a detail-oriented and enthusiastic claims professional? Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for our clients. T ...
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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 ...
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Worker's Compensation Claim Technical Assistant
3 weeks ago
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 ...
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Workers Compensation
4 weeks ago
Chubb New Haven, United StatesJob Description · Chubb 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 ...
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Worker's Compensation Claim Technical Assistant
3 weeks ago
Chubb New Haven, United StatesJob DescriptionChubb 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 o ...
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Chubb New Haven, United StatesJob Description · Chubb 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 jurisdictio ...
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Physician Assistant OR Nurse Practitioner
2 days ago
Concentra New Haven, CT, United States Full timeWhere daily patient care is backed by evidenced based medicine and career options are limitless, then look no further · As an advanced practice clinician, you are a vital part of a dedicated team of clinicians committed to exceptional patient care. Your patients, as well as your ...
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Utilization Management Specialist
1 week ago
Saint Francis Health System New Haven, United StatesCurrent Saint Francis Employees - Please click HERE to login and apply.Full Time11p - 7aHours: Monday - Friday | 11:00pm - 7:00amJob Summary: The Utilization Management Specialist (LPN) will analyze patient records to determine legitimacy of hospital admission, treatment, and app ...
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Utilization Management Specialist
1 week ago
Saint Francis Health System New Haven, United StatesCurrent Saint Francis Employees - Please click HERE to login and apply. · Full Time · 11p - 7a · Hours: Monday - Friday | 11:00pm - 7:00am · Job Summary: The Utilization Management Specialist (LPN) will analyze patient records to determine legitimacy of hospital admission, tr ...
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Utilization Management Specialist
2 weeks ago
Saint Francis Health System New Haven, United StatesCurrent Saint Francis Employees - Please click HERE to login and apply. · Full Time · 3p - 11p · Hours: Monday - Friday | 3:00pm - 11:00pm · Job Summary: The Utilization Management Specialist (LPN) will analyze patient records to determine legitimacy of hospital admission, tr ...
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Workers Compensation
3 weeks ago
Combined Insurance 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 ...
Worker's Compensation Lost Time Senior Claim Examiner - New Haven, United States - Chubb
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, and New Jersey.
The position will report to a Claim Manager and reside in either our New Haven, Connecticut.