Claims Examiner-Lost Time Position Available In South Central Connecticut Planning Region, Connecticut

Description We are seeking an experienced Claims Examiner – Lost Time to join our team in a fast-paced and collaborative environment. This role is ideal for individuals with at least 3 years of relevant claims experience, particularly in workers’ compensation, though related experience in fields such as disability, auto, or legal support will also be considered.

Key Responsibilities:

+ Manage all phases of workers’ compensation lost time claims from intake to resolution. + Conduct thorough investigations involving insureds, claimants, and providers. + Determine claim compensability and communicate decisions to all parties involved. + Administer statutory medical and indemnity benefits in a timely and compliant manner. + Establish, monitor, and adjust reserves for medical, indemnity, and expense categories. + Collaborate with attorneys to manage litigation and hearings. + Oversee vendors including nurse case managers and rehabilitation specialists. + Ensure compliance with state regulations by filing workers’ compensation forms and data. + Refer appropriate claims to subrogation to optimize recovery efforts. + Maintain high levels of customer service and meet special handling requirements. Requirements + Minimum of 3 years of experience in lost time claim handling or commensurate fields (e.g., disability, general liability, paralegal). + Strong organizational, communication, and multi-tasking skills. + Knowledge of workers’ compensation statutes and claim handling practices is preferred. + Proficiency in Microsoft Office; familiarity with medical terminology and bill processing is a plus. + Ability to work independently while maintaining a collaborative team environment. + Must be able to obtain adjuster licenses in CT, NH, RI, and VT if not currently licensed.

Preferred Background:

+ Previous experience in insurance, legal, or healthcare industries. + Industry coursework or designations (AIC, CPCU, RMA) a plus. + Experience with data analytics in claims handling a plus. 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. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .