Disability Claims Examiner, Sr. jobs in East Hartford, CT

Disability Claims Examiner, Sr. reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner, Sr. has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner, Sr. typically reports to a supervisor/manager. To be a Disability Claims Examiner, Sr. typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Claims Examiner- Multi-Lines
  • Atlantic Casualty Insurance Company
  • Glastonbury, CT FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been certified a “Great Place to Work” for the last 3 years and on Fortune’s “Best Place to Work” list of the top 100 best small and medium companies to work.

    With offices in Goldsboro, NC; Hartford, CT; Scottsdale, AZ; Richmond, VA; Atlantic Casualty has authority in fifty states and Washington, DC. We value our employees and believe embracing diversity of thought aides in fostering a culture of belonging; where all are seen, heard, and valued. At Atlantic Casualty, we are family! We care about our associates physical, emotional, and professional health and emphasize wellness benefits, charity, and training programs offered. We offer employee development opportunities through Cornerstone Learning Management System, Franklin Covey, the Institutes and Pluralsight.

    Benefits of Atlantic Casualty include:

    • Health, Dental, Vision, and Pet Insurance
    • 401(k) Plan Company Match
    • Student Loan Assistance and Tuition Reimbursement
    • Parental Leave
    • Career Growth and Opportunities for Promotions

    Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

    www.atlanticcasualty.net/about-acic/our-careers/

    Summary:

    Manages complex, high-value third-party claims and suit files. Cases will involve complex coverage, liability, damages and/or injuries. May give technical assistance to staff adjusters. Manages independent adjusters and attorneys assigned to the Examiner’s files. Has settlement authority in excess of adjusters. Does not administratively supervise staff adjusters.


    Essential Duties and Responsibilities:

    • Analyze, review, and interpret policies to resolve coverage and assess liability.
    • Independently handle all levels of claims, including complex and high-exposure Commercial General Liability, Garage, and Property claims
    • Under general supervision and direction, resolves complex claims by investigating third party general liability losses, negotiating settlements, presenting evidence in legal proceedings while maintaining adequate production and quality levels.
    • Investigates claims by interviewing insureds and witnesses, requesting and obtaining official reports, requesting and reviewing adjuster reports, contracts, and comparing claim information with evidence.
    • Independently manage high exposure files and files in litigation.
    • Establish and maintain proper loss and expense reserves.
    • Determine what investigation is necessary to bring a claim to an equitable conclusion for all parties involved.
    • Properly document information in the claim file.
    • Review insurance policies for coverage and make recommendations.
    • Make decisions regarding the liability of an insured.
    • Maintain a working diary of assigned claims.
    • Return phone calls promptly.
    • Provide excellent customer service.
    • Assist in the training of personnel within the unit.
    • Perform other similar or related duties as assigned.


    Required Education/Experience:

    Basic

    • A four-year degree from an accredited institution or equivalent experience.
    • Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
    • A basic understanding of accounting principles, construction, underwriting, and marketing.

    Advanced

    • Seven plus years successful handling of claims including advanced skills in coverage, investigation, litigation, negotiation, and subrogation.
    • Knowledge of medical terms and legal issues.
    • Excellent computer skills and letter writing.
    • Advanced communication skills are required to understand, interpret, and convey technical information.
    • Excellent time management skills
    • Experience handling construction defect litigation a plus.

    Licensing:

    • A valid resident adjuster license for the license state of the applicant.
    • A non-resident adjuster’s license where required in the states where we do business.


    Mental Requirements:

    The position requires using and interpreting information and facts that may require refining and improving existing methods of analysis. The incumbent has considerable latitude for decision making and establishment of priorities. Significant planning is required to coordinate with other organizational units.


    PHYSICAL REQUIREMENTS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.


    WORK ENVIRONMENT:

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    The noise level in the work environment is usually moderate. Works primarily indoors.


    TRAVEL:
    5%

  • 1 Month Ago

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Stop Loss Sr Claims Analyst
  • Sun Life
  • Hartford, CT FULL_TIME
  • You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fi...
  • 1 Day Ago

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CT - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Hartford, CT FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 7 Days Ago

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Workers' Compensation Adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is looking to add multiple Workers' Compensation Claims Adjusters to their staff. These adjusters will need to have 2 years of experience handling Medical Only Workers' Compensation claims ...
  • 1 Month Ago

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Compensation adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is looking to add multiple Workers' Compensation Claims Adjusters to their staff. These adjusters will need to have 2 years of experience handling Medical Only Workers' Compensation claims ...
  • 1 Month Ago

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Workers Compensation Adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is seeking to add a temporary Workers Compensation Adjuster to their team. The ideal candidate will have a minimum of 5 years experience handling NY, NJ and CT Lost Time claims and will be ...
  • 1 Month Ago

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0 Disability Claims Examiner, Sr. jobs found in East Hartford, CT area

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Professional Review Nurse
  • CorVel
  • East Hartford, CT
  • The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple ...
  • 3/28/2024 12:00:00 AM

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Transportation Engineer 3 (Engineering)
  • State of Connecticut
  • Newington, CT
  • Introduction The State of Connecticut Department of Transportation (DOT) invites interested DOT employees to apply for a...
  • 3/28/2024 12:00:00 AM

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Utilization Management Specialist (LPN): Day Shift | 7a - 3:30p
  • Saint Francis Health System
  • New Haven, CT
  • Current Saint Francis Employees - Please click HERE to login and apply. Full Time Job Summary: The Utilization Managemen...
  • 3/28/2024 12:00:00 AM

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Commercial Casualty Claims Adjuster (The Mutual Group) - Remote Opportunity
  • GuideOne Insurance
  • New Haven, CT
  • The Mutual Group (TMG) is a comprehensive, integrated insurance operations platform dedicated to helping mutual insuranc...
  • 3/26/2024 12:00:00 AM

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SUPV GENERAL ENGINEER
  • Naval Sea Systems Command
  • Groton, CT
  • Summary You will serve as a Supervisory General Engineer (Division Head) in the Engineering Department of SUPERVISOR OF ...
  • 3/26/2024 12:00:00 AM

East Hartford is a town in Hartford County, Connecticut, United States. The population was 51,252 at the 2010 census. The town is located on the east bank of the Connecticut River, directly across from Hartford, Connecticut. The town includes the neighborhoods of Burnside and Hockanum. According to the United States Census Bureau, the town has a total area of 18.7 square miles (48.5 km2), of which 18.0 square miles (46.6 km2) is land and 0.73 square miles (1.9 km2), or 3.93%, is water....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$62,086 to $80,448
East Hartford, Connecticut area prices
were up 1.7% from a year ago

Disability Claims Examiner, Sr. in Memphis, TN
Claims examiners work for insurance companies and they are trained from the beginning to ask questions in such a way to elicit certain information.
December 30, 2019
Disability Claims Examiner, Sr. in Provo, UT
For this reason, disability insurance claims are highly scrutinized and often fiercely litigated.
December 18, 2019
Disability Claims Examiner, Sr. in New Bedford, MA
In addition, a Disability Examiner is experienced with determining the severity and validity of a person’s disability.
December 04, 2019