[Hiring] Workers' Compensation Claims Examiner @King'S Insurance Staffing

Role Description

This position will focus on managing Medical Only and some Lost Time claims from inception through resolution.

• Independently manage Medical Only and Lost Time Connecticut Workers’ Compensation claims from inception through resolution.
• Conduct detailed claim investigations and prepare documentation related to evaluations, settlements, denials, and involved parties.
• Administer statutory medical benefits accurately and timely throughout the life of each claim.
• Establish and maintain appropriate reserves for medical, indemnity, and expense exposures within assigned authority, recommending adjustments as needed.
• Analyze coverage issues, coordinate medical care, support early return-to-work initiatives, and manage litigation strategies to drive effective claim outcomes.
• Maintain organized, well-documented files while applying sound reserving practices and participating in ongoing training initiatives.
• Present significant or complex claims to committee as required and assist with oversight of litigated matters.
• Deliver a high standard of customer service while consistently adhering to departmental best practices and compliance guidelines.

Qualifications

• 2+ years of Workers’ Compensation Medical Only and/or Lost Time claims experience
• In-depth knowledge of Connecticut Workers’ Compensation law
• Active Connecticut Adjuster’s License required
• Proven experience handling litigated Workers’ Compensation claims
• Strong organizational, communication, and customer service skills
• High School Diploma required; Bachelor’s degree preferred

Benefits

• Competitive base salary ranging from $65,000 – $80,000 (depending on experience), plus annual bonus eligibility
• Comprehensive Medical, Dental, Vision, and Life Insurance coverage
• Medical benefits available on the first day of employment
• Employer-sponsored 401(k) plan with matching contributions

Company Description