Claims Examiner

Description Title:

Workers' Compensation Claim Examiner Location:

New Haven, CT 06511‑5941,

United States Experience Required:

+ 3+ years of Workers' Compensation Claim Examiner experience or commensurate transferable experience + Direct workers' compensation experience is preferred but not required, provided transferable claims skills are present Key Duties & Responsibilities + Handle all aspects of workers' compensation claims from inception to closure while maintaining strong customer relations. + Review claim and policy information to establish investigative background. + Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers. + Evaluate investigation findings to determine claim compensability. + Notify insureds, claimants, and attorneys of claim denials when applicable. + Prepare investigative reports, settlements, denials, and evaluations of involved parties. + Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim. + Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed. + Perform regular claim reviews and recommend corrective or remedial actions to address issues. + Identify and escalate unusual or potentially adverse exposures to leadership. Experience & Education Requirements + Experience working in a fast‑paced, customer‑focused environment. + Strong verbal, written, and telephonic communication skills. + Prior roles requiring high levels of organization, follow‑up, and accountability. + Workers' compensation claim handling experience preferred but not required. + Familiarity with healthcare claims, disability claims, auto/PIP, medical injury, general liability, or medical billing is a plus. + Prior insurance, legal, or corporate business experience is a plus. + AIC, RMA, or CPCU coursework or designations are a plus. + Proficiency with Microsoft Office products. + Knowledge of medical terminology and bill processing is a plus. Licensing Requirements Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting. If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses Requirements Experience & Education Requirements + Experience working in a fast‑paced, customer‑focused environment. + Strong verbal, written, and telephonic communication skills. + Prior roles requiring high levels of organization, follow‑up, and accountability. + Workers' compensation claim handling experience preferred but not required. + Familiarity with healthcare claims, disability claims, auto/PIP, medical injury, general liability, or medical billing is a plus. + Prior insurance, legal, or corporate business experience is a plus. + AIC, RMA, or CPCU coursework or designations are a plus. + Proficiency with Microsoft Office products. + Knowledge of medical terminology and bill processing is a plus. Licensing Requirements Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting. If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses. Please note that this is a contract position—there is no guarantee that this position will be extended past the end date or converted to permanent status. 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) .