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Job Title: Workers Compensation Plant Rep II
Location: Dearborn, MI (Onsite)
Job Type: HR/Claims Rep
Shift: 8:00am-4:30pm
Expected hours per week (must include “per week”): 40/week
Pay Range (must include “per hour”): $29.00/hr
Job Description:
About the Role
We are seeking an experienced Workers’ Compensation Claims Handler to serve as the primary point of contact for all claims at a plant location. In this role, you will manage a full caseload of workers’ compensation claims—focusing on high-quality claim handling, strong customer service, and effective cost control.
This is a hands-on, onsite position where you’ll work closely with employees, leadership, medical providers, and legal partners to ensure claims are handled accurately, efficiently, and in compliance with state regulations.
Key Responsibilities
- Manage a full caseload of workers’ compensation claims, including more complex and higher-severity cases
- Investigate claims by gathering facts, statements, and documentation to determine exposure and compensability
- Develop and execute strategic claim action plans to drive timely and cost-effective resolution
- Handle lost-time claims, including wage calculations and ongoing indemnity management
- Establish and maintain appropriate reserves, ensuring accuracy throughout the life of the claim
- Calculate and issue benefit payments; approve adjustments and settlements within authority level
- Prepare and submit state filings in compliance with statutory requirements
- Coordinate with vendors for investigation, medical management, and litigation support
- Utilize cost containment strategies (e.g., vendor partnerships, medical management tools)
- Manage claim recoveries including subrogation, Second Injury Fund, and Social Security/Medicare offsets
- Report claims to excess carriers when applicable
- Communicate proactively with claimants, plant leadership, HR, and external partners regarding claim status
- Maintain accurate, well-documented claim files and ensure proper claims coding
- Escalate complex or high-risk cases to leadership as appropriate
Required Qualifications
- 3–5+ years of Workers’ Compensation claims handling experience
- Proven experience handling lost-time claims and higher-exposure cases
- Strong knowledge of claims investigation, reserving, and benefit administration
- Ability to manage a full caseload independently
- Excellent communication, organization, and decision-making skills
- Comfortable working onsite in a plant/manufacturing environment
Preferred Qualifications
- Bachelor’s degree (or equivalent experience)
- Experience working in a self-insured or plant-based environment
- Familiarity with cost containment strategies and vendor management
Why This Role
- Opportunity to be the lead claims professional onsite
- High visibility with plant leadership and direct impact on operations
- Hands-on role with ownership of claims from intake through resolution
- Collaborative, team-oriented environment with strong cross-functional exposure
Benefits: 80 hours paid time off, and medical insurance contributions, dental vision and our 401k retirement savings plan
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