Robert Half Corporation Jobs

Description We are inviting applications for a Claims Examiner-Lost Time role based in New Haven, Connecticut. This role resides in the insurance industry and provides an opportunity to work in a hybrid workplace. The position offers a short-term contract employment opportunity and involves handling all aspects of workers' compensation lost time claims, maintaining customer relations, and ensuring compliance with statutory regulations.

Responsibilities:

• Administer all aspects of workers' compensation lost time claims from initiation to closure, maintaining strong customer relations throughout the process.

• Evaluate claim and policy information to form a basis for investigation.

• Conduct ongoing investigations, obtaining facts and taking statements from insured claimants and medical providers when necessary.

• Evaluate facts obtained through investigations to determine the compensability of the claim.

• Inform insureds, claimants, and attorneys of claim denials when applicable.

• Prepare reports on investigation settlements, denials of claims, and evaluations of involved parties.

• Administer statutory medical and indemnity benefits in a timely manner throughout the life of the claim.

• Manage hearings and litigation in collaboration with attorneys.

• Direct and control vendors, nurse case managers, telephonic cases managers, and rehabilitation managers on medical management and return to work initiatives.

• Ensure compliance with statutory regulations by filing workers' compensation forms and electronic data with states.

• Collaborate with in-house Technical Assistants, Special Investigators, Nurse Consultants, and Team Supervisors to exceed customer's expectations for exceptional claims handling service. Requirements • Proven experience in customer service and communication

• Knowledge of procedures, policy, and compliance in the insurance sector

• Quality assurance and human resources administration skills

• Experience in insurance claims and medical coverage

• Ability to manage benefit functions and handle vendors

• Knowledge of claim administration and regulation

• Proficiency in expense reporting and financial notes

• Excellent time management and teamwork skills

• Proficiency in Microsoft Office Suites and consumer electronics

• Familiarity with HealthCare.gov and litigation procedures

• Leadership skills to guide and manage team

• Ability to ensure compliance with all relevant laws and regulations.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .