Job Description

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Join Yale New Haven Health System (YNHHS) and become a vital part of a dynamic team committed to excellence. Our vision, mission, and values drive our purpose every day, shaping a culture of integrity, patient-centered care, respect, accountability, and compassion.

Position: Workers' Compensation Claims Specialist

Responsibilities:

• Evaluate Workers' Compensation Medical Only claims ensuring accuracy, completeness, and compliance with legal requirements
• Collaborate with claimants, physicians, and attorneys to devise effective case strategies for efficient claims management
• Interface with medical providers to secure necessary information and authorize treatment within established protocols
• Implement strategic follow-up procedures to efficiently close cases and minimize hospital exposure
• Identify potential third-party recoveries and take appropriate action to initiate them
• Monitor claims activity, manage financial reserves, and adjust exposure changes over the claim lifecycle
• Foster communication with internal and external stakeholders regarding claim and account matters
• Support Compensation and Benefits Department by providing services, information, and communication to employees and management
• Stay updated on Workers' Compensation trends and legislation affecting the program

Qualifications:

• Bachelor's degree or equivalent work experience
• 1-3 years of experience in Workers' Compensation with knowledge of Connecticut laws
• Current Connecticut Licensed Workers Compensation Claims Adjustor
• Proficiency in Microsoft Office, especially Excel, with strong typing and data entry skills
• Ability to work independently with minimal supervision
• Excellent communication and interpersonal skills with a grasp of medical terminology
• Strong critical thinking, analytical, and decision-making skills with acute attention to detail

At YNHHS, you'll be part of an organization that values its employees and their contributions. Join us in delivering exceptional care while growing your career in a supportive and forward-thinking environment.

EEO/AA/Disability/Veteran Employer.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Family leave
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• In-person

Work Location: In person

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