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Claims Hearing Specialist - East Hartford, CT

Company: Gallagher
Location: East Hartford
Posted on: May 12, 2022

Job Description:

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies throughout 100 offices worldwide. For the past several years GB has ranked among the largest TPA's by Business Insurance Magazine and was also a recipient of the Business Insurance Readers' Choice award for "Best Third Party Claims Administrator." If you're looking for a professional career with an industry leader then you have come to the right place. Wherever your interests lie, we're sure you will agree on one thing: our continued prosperity hinges on our greatest resource --- our people. Position Summary:

  • Responsible for presenting informal claim hearing cases at Worker's Compensation Commission offices.
  • Makes recommendations for disposition and settlement of claims with minimal supervision.
  • Reviews files prior to attending the hearings, meets with the assigned adjuster and/or supervisor to understand all issues and the recommendation of the handling adjuster.
  • Serves as a resource for employees in the branch as to the legal/hearing process, the reserving of files in various districts and is a back up for the supervisor as requested and needed.
  • Files reports as to results of the hearing process, follows up to ensure timely compliance with the Commissioner's recommendations and works with the Attorney General's office in the event a case escalates beyond the informal hearing level.
  • Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to present the case at the informal hearing.
  • Interacts extensively with various parties involved in the claim process. Has the ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
  • Handles claims consistent with our clients and corporate policies, procedures and "Best Practices" and also in accordance to any statutory, regulatory and ethics requirements.
  • Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file. Additional Considerations: Required:
    • Five plus years of claims related experience with a consistent high level of performance and achievement required.
    • Appropriately licensed and/or certified in all states in which claims are being handled.
    • Valid driver's license and transportation to and from hearings. Desired:
      • A four year college degree or equivalent work experience is preferred. Work Traits:
        • Extensive knowledge of accepted industry standards and practices. Analytical skills necessary to make decisions and resolve complex issues inherent in handling losses.
        • Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.
        • Ability to effectively operate a personal computer and related claims and business software.
        • Ability to drive a vehicle to hearing venues throughout the state. Interpersonal skills including the ability to work in conjunction with and support all administration, management, supervisory and staff positions as well as professional interaction with State liaisons and WCC personnel. U.S. Eligibility Requirements:
          • Interested candidates must submit an application and resume/CV online to be considered
          • Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract?
          • Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation
          • Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization
          • Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more. Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, color, religion, sex, age, veteran status, disability, national origin, or any other legally protected status. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

            Additional Information

Keywords: Gallagher, East Hartford , Claims Hearing Specialist - East Hartford, CT, Other , East Hartford, Connecticut

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