What are the responsibilities and job description for the Claims Examiner-Lost Time position at Comptech Associates?
Job Title: Claims Examiner-Lost Time
Location: New Haven, CT (Onsite)
Duration: 3 Months (CTH)
3 years of Workers’ Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in workers’ compensation is not a requirement, but a nice thing to have, as long as the skills they do have are transferable.)
Technical Skills & Competencies:
- Lost Time Claim Examiner position with 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.
- 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.
- Exceptional customer service and focus.
- Ability to openly collaborate with leadership and peers to accomplish goals.
- Demonstrates a commitment to a career in claims.
- Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.
- Use analytical skills to find mutually beneficial solutions to claim and customer issues.
- Ability to prepare and make exceptional presentations to internal and external customers.
- Conscientious about the quality and professionalism of work product and relationships with co-workers and clients.
- Willing to take ownership and tackle obstacles to meet Client's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
- Superior verbal and written communication skills.
Experience, Education & Requirements:
- Experience working in a customer-focused, fast-paced, fluid environment
- Experience utilizing strong communication and telephonic skills
- Prior experience requiring a high level of organization, follow-up, and accountability
- 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
- Prior insurance, legal or corporate business experience 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 medical terminology is a plus but not required
- 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