Claims Examiner

Finding a job that fits your lifestyle isn’t always easy. That’s where Kelly comes in. We’re seeking a Claims Examiner to work at a premier client in New Haven, CT 06511. Job Details: Job Duration: 3 Months Shift: 1st Shift (Mon-Fri)  Hours: (8:30 AM to 5:00 PM) Job Responsibilities: Handles all aspects of workers’ compensation claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. Reviews claim and policy information to provide background for investigation. Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant, and medical providers. Evaluates the facts gathered through the investigation to determine compensability of the claim. Informs insureds, claimants, and attorneys of claim denials when applicable. Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc. Timely administration of statutory medical and/or indemnity benefits throughout the life of the claim. Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team Leader throughout the life of the claim. Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them. Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered. Works with attorneys to manage hearings and litigation Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives. Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews. Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations. Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized. Works with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer’s expectations for exceptional claims handling service. Technical Skills & Competencies: Claim Examiner position with prior experience in workers’ compensation as a claim examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability, medical billing or as a claim technical assistant for lost time claims. Requires knowledge of workers’ compensation statutes, regulations, and compliance. Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues. Exceptional customer service and focus. Ability to openly collaborate with leadership and peers to accomplish goals. Demonstrates a commitment to a career in claims. Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines. Use analytical skills to find mutually beneficial solutions to claim and customer issues. Ability to prepare and make exceptional presentations to internal and external customers. Conscientious about the quality and professionalism of work product and relationships with co-workers and clients. Willing to take ownership and tackle obstacles to meet client quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation. Superior verbal and written communication skills. Experience, Education & Requirements: Experience working in a customer focused, fast-paced, fluid environment Experience utilizing strong communication and telephonic skills Prior experience requiring a high level of organization, follow-up, and accountability Prior workers’ compensation claim handling experience is a plus but not required Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, medical billing, or general liability) is a plus but not required Prior insurance, legal or corporate business experience is a plus but not required AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required Proficiency with Microsoft Office Products Knowledge of medical terminology is a plus but not required Knowledge of bill processing is a plus but not required Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island and Vermont, are necessary; however, they are not required at the time of posting for the position. If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure What happens next:  Once you apply, you’ll proceed to next steps if your skills and experience look like a good fit.  But don’t worry-even if this position doesn’t work out, you’re still in our network.  That means all of our recruiters will have access to your profile, expanding your opportunities even more.  Helping you discover what’s next in your career is what we’re all about, so let’s get to work.  Apply to be a Claims Examiner…

Read More

Maintenance Technician

SUMMARY Under general supervision, execute intermediate maintenance activities. Operate assigned equipment, facility, utility, and HVAC Systems in accordance with established guidelines and operating procedures. Conduct basic troubleshooting and employ basic predictive technologies to identify root cause and appropriate corrective actions for equipment problems or to diagnose equipment problems. FUNCTIONS 1. Execute intermediate maintenance activities, or…

Read More

Process Engineer

Process Engineer – Equipment Qualification & Process Validation Location: Yorba Linda, CA Schedule: 100% Onsite Duration: 1 Year Contract Pay Rate: $45–$50/hr DOE Kelly Engineering is seeking a Process Engineer with strong equipment qualification and process validation experience to support a regulated manufacturing environment. This role will focus heavily on IQ/OQ/PQ, validation documentation, manufacturing support,…

Read More

General Labor – Forklift Operator

Job Description – General Labor / Forklift Operator Location: Vandalia, OH Pay Rate: $23.50/hour Shifts Available: 2nd Shift: 3:00 PM – 11:30 PM (Monday–Friday) Requirements: Steel-toe shoes required Position Overview This position involves general labor duties in a fast-paced production environment. Responsibilities include operating equipment, maintaining cleanliness, handling materials, and supporting production operations. The work…

Read More

General Labor – Forklift Operator

Job Description – General Labor / Forklift Operator Location: Inver Grove Heights, MN Pay Rate: $25.15/hour Shifts Available: 2nd Shift: 2:00 PM – 10:30 PM (Monday–Friday) Requirements: Steel-toe shoes required Position Overview This position involves general labor duties in a fast-paced production environment. Responsibilities include operating equipment, maintaining cleanliness, handling materials, and supporting production operations.…

Read More

Warehouse General Labor Associate

Kelly is hiring in Romeoville!  Immediate Openings.  Are you ready to jumpstart your warehousing career?  Kelly is currently recruiting warehouse workers for our client in Romeoville, IL.  No experience required.  Training available.  For those who want to keep growing, learning, and evolving. We at Kelly® hear you, and we’re here for you! We’re seeking eager…

Read More

Service Delivery Representative

Service Delivery Representative Job Description: The Service Delivery Representative will manage customer accounts, ensuring service level agreements (SLAs) are met. This role involves preparing and maintaining status reports, modifying schedules, and assisting the Account Manager with technical advice and problem-solving. Additionally, the representative will handle order management, inventory updates, and customer support for both international…

Read More

Lab Tech

Summer Job Night Shift: Laboratory Sanitation Associate (9-Week Contract) Location: Salt Lake City, UT 84123 Schedule: Sunday–Thursday, 10:00 PM–6:30 AM Pay: $20.40/hour Contract Length: 9 Weeks (Summer) Position Type: Temp-to-Hire (opportunity for permanent placement!) No laboratory experience required—just bring your energy and work ethic! About the Role Join a vibrant laboratory team and help drive important…

Read More

Materials Engineer

Materials Engineer Kelly Services is currently seeking a Materials Engineer for one of our top clients in Warsaw, IN. The position is organized within Research Development Labs. As a materials scientist and engineer, you will address material selection challenges, investigate product fractures, and manage material and engineering specifications for our full range of…

Read More

Assembler Technician

At Kelly®, we’re passionate about helping you find a job that works for you. How about this one? We’re seeking an Assembler Technician to work at a premier manufacturing client in Hermantown, MN. With us, it’s all about finding the job that’s just right. Pay Range:  $20.00 – $26.50 per hour, depending on experience and level…

Read More