Workers Compensation Claims Examiner

Overview Our client is looking to add a Workers’ Compensation Claims Examiner to their Connecticut team. This person will handle Lost Time and Medical Only claims from inception to resolution. Candidates must be well versed in Connecticut Law and hold an active CT Adjuster’s License. If you're someone seeking an opportunity with a reasonable caseload (85 - 95 files) and an opportunity to further develop your workers' compensation knowledge and experience, this position is right for you! Responsibilities Handle 85 - 95 files to include medical only and lost time Connecticut Workers’ Compensation claims with minimal supervision and guidance from the manager. Prepare reports on investigation, settlements, denials of claims and evaluations of involved parties; 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. Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, manage medical treatment, influence early full return-to-work, guide litigation and control claim outcomes. Responsibilities also include active file management, effective reserving practices, participation in training activities, presentation of serious claims to committee and supervision of litigated files. Consistently exhibit a high level of customer service and adherence to department Best Practices. Qualifications 2 - 5+ years of Workers Compensation Lost Time claims handling experience Must be well versed in CT Workers’ Compensation Law Must hold an active CT Adjuster’s License Excellent Customer Service and Organizational skills. High School Diploma; Bachelor's Degree preferred but not required Salary/Benefits $75,000 to $90,000 annual base salary plus Yearly Bonus Competitive Medical, Dental, Vision and Life plans Medical benefits effective on 1st day of employment #J-18808-Ljbffr