Claims Examiner

Description We are seeking a detail-oriented Claims Examiner to join a fast-paced, customer-focused environment. This is a temporary, fully on-site opportunity where the Claims Examiner will manage claims from intake through resolution, ensuring accuracy, compliance, and excellent service throughout the lifecycle of each case. Key Details +

Service Type:

Temporary to hire +

Schedule:

5 days on-site +

Hours:

8:30 AM - 5:00 PM EST +

Location:

New Haven, CT Responsibilities + Manage workers' compensation claims from setup through closure + Review claim and policy information to support investigations + Conduct thorough investigations, including gathering statements from claimants, insured parties, and medical providers + Determine claim compensability based on collected facts + Communicate claim decisions, including denials, to relevant stakeholders + Prepare detailed reports on investigations, settlements, and claim evaluations + Administer statutory medical and indemnity benefits in a timely manner + Set and adjust reserves within authority limits and recommend changes as needed + Monitor claim progress and recommend corrective actions to leadership + Coordinate with attorneys on hearings and litigation + Direct vendors such as nurse case managers and rehabilitation specialists + Ensure compliance with customer service standards and regulatory requirements + File necessary documentation with state agencies + Identify subrogation opportunities and support recovery efforts + Collaborate with internal teams to deliver high-quality claims handling Requirements Job Requirements + 3+ years of Claims Examiner experience or related transferable experience + Knowledge of workers' compensation regulations (preferred but not required) + Excellent analytical and problem-solving skills + Strong communication (verbal and written) abilities + Ability to manage multiple priorities and meet deadlines + High attention to detail and organizational skills + Proficiency in Microsoft Office + Ability to collaborate effectively with cross-functional teams + Commitment to delivering high-quality customer service Preferred Qualifications + Background in paralegal work, disability claims, auto/PIP, medical billing, or general liability + Familiarity with medical terminology and bill processing + Insurance, legal, or corporate business experience + Professional designations (AIC, RMA, CPCU coursework) + Adjuster licenses (or willingness to obtain) in applicable states 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) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .