Our client is looking to bring on a Workers’ Compensation Claims Examiner to support their Connecticut claims operations. This position will focus on managing Medical Only and some Lost Time claims from inception through resolution. The ideal candidate will have strong knowledge of Connecticut Workers’ Compensation regulations and hold an active Connecticut Adjuster’s License. This opportunity offers remote or hybrid flexibility and strong long-term growth potential!

Key Responsibilities:

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

Compensation & 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

Workers' Compensation Claims Examiner