Auto Managed Care New York PIP - Claim Representative

Posted:
12/11/2024, 4:00:00 PM

Location(s):
Florida, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Customer Success & Support

Workplace Type:
Remote

Claims Representative - CH09CN

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.          

As a member of the Auto Managed Care Department, the adjusters handle first party no-fault PIP (personal injury protection) and medical payments coverage for personal and commercial auto claims with a focus on financial accuracy, appropriate file disposition, and adherence to statutory guidelines.  Goals are important, but so is the way we reach them. Character and customer value are just as vital to our reputation as financial performance – leading to behaviors that put the customer at the center of everything we do. At The Hartford, we respect our employees for their unique perspectives, ideas, and solutions. We empower individuals and teams to invent faster, smarter ways of meeting customers’ needs while improving our performance. Goals are important, but so is the way we reach them. Character and customer value are just as vital to our reputation as financial performance – leading to behaviors that put the customer at the center of everything we do.

This role can have a Hybrid or Remote work arrangement.  Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).   Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

Start Date: Jan 20, 2025

Location: Remote or Hybrid

Training Hours: Monday - Friday 8:00am - 5:00pm EST (2 weeks)

Regular Hours: Monday - Friday Core Business Hours, no weekends.

Key Responsibilities:

  • Timely investigating claims to determine first party medical coverage. applicability, verification of medical damages, interpretation of medical documentation, ongoing medical management to include utilization of tools to mitigate claim severity while focusing on accurate outcomes along with potential subrogation.

  • Provide exceptional customer service by establishing and maintaining effective relationships with customers through adherence to The Hartford’s standards of communication.

  • Ability to make decisions with the customer at the center of everything we do.

  • Utilize critical thinking skills to gather and analyze information and data to make sound decisions. 

  • Continually evaluate self against performance targets and strive to exceed expectations.

  • Contribute to a courageous culture that promotes collaboration and inclusion to maximize operational performance and employee engagement.  Embrace a culture of continuous improvement.

  • Leverage contemporary technology to achieve accurate and efficient claim outcomes.

Qualifications:

  • High School diploma required; College degree preferred.

  • NY PIP experience required

  • Required 2+ years of proven claim handling experience (Auto and/or Workers Comp injury claims handling experience preferred).

  • Preferred background of medical terminology.

  • Looking for a candidate that has complimentary skills and can accelerate their learning to meet the demands of the job.

  • Contribute to a culture of excellence.

  • Ability to contribute and promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another.

  • Passionate desire to help both internal and external customers.

  • Ability to embrace change and flourish with industry-changing technology and trends.

  • Critical thinking skills inclusive of investigation, decision making and conflict resolution.

  • Ability to create and maintain loyal customers by creating a service experience that differentiates us within the industry.

  • Ability to listen attentively to our customer’s needs and exhibit empathy during difficult situations.

  • Ability to produce clear and grammatically accurate correspondence.    

  • Strong Organizational Skills.

  • Ability to handle competing priorities while positively impacting the quality and service we are committed to delivering.  

Additional Information:

  • This role can have a Hybrid or Remote work arrangement.  Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).   Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

  • Work core hours based on the time zones of the States that you are assigned to handle.

  • As a condition of your employment:  You must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the   states of your handling jurisdiction. Continued employment with The Hartford is   contingent upon the successful passage of the Licensing exam(s) within 30 business days from the completion of the licensing training.

How We Focus on Your Wellbeing:

  • Medical, Dental, Vision, Life and Disability Insurance. Effective day 1. ​

  • 25 days paid time off in your first full year and Paid Holidays

  • Click on this link to learn more about our comprehensive benefits package and award-winning well-being program: https://www.thehartford.com/careers/benefits

  • Tuition reimbursement - up to $5,250 (undergraduate) and $6,000 (graduate) for tuition and registration fees for degree programs that support   your career development (subject to additional requirements)​.

Student Loan Paydown Program – eligible to participate after 6 months of service. The Hartford will make a direct contribution of $125 per month – with a lifetime maximum up to $10,000 – as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$52,560 - $78,840

Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

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