Workers’ Compensation Plant Representative II
Location: Claycomo, MO (Onsite)
Schedule: Morning Shift
Employment Type: Long-Term Contract (W2)
Duration: 1 year
Pay: Market Rate
Position Overview
We are seeking an experienced Workers’ Compensation Plant Representative II to serve as the primary Workers’ Compensation Claims Handler at a manufacturing facility in Claycomo, Missouri. This onsite role focuses on delivering exceptional customer service, effective claim management, and cost-containment strategies while ensuring compliance with Missouri workers’ compensation regulations.
Key Responsibilities
- Manage and process complex workers’ compensation claims from inception through resolution.
- Investigate claims, gather relevant information, and determine claim exposure.
- Handle a full caseload, including claims with increased severity and complexity.
- Develop and execute action plans to achieve timely and cost-effective claim outcomes.
- Establish, monitor, and adjust claim reserves throughout the life of each claim.
- Calculate and issue benefit payments while ensuring accuracy and regulatory compliance.
- Prepare and submit required state filings within statutory deadlines.
- Coordinate with legal counsel, investigators, medical providers, and other vendors as needed.
- Utilize cost-containment strategies and vendor partnerships to reduce claim costs.
- Manage claim recoveries, including subrogation, Second Injury Fund recoveries, and Social Security/Medicare offsets.
- Report applicable claims to excess insurance carriers.
- Communicate claim status and updates effectively with claimants and business stakeholders.
- Maintain accurate claim documentation and coding within claim management systems.
- Escalate complex issues to management as appropriate.
Required Qualifications
- High School Diploma or GED.
- 3-5 years of Missouri Workers’ Compensation Claims Adjusting experience.
- Experience handling Workers’ Compensation Lost Time claims.
- Strong knowledge of workers’ compensation regulations, claims investigations, and settlement processes.
- Ability to manage multiple claims simultaneously in a fast-paced environment.
- Excellent communication, organization, and problem-solving skills.
Preferred Qualifications
- Bachelor’s Degree.
- Experience handling high-severity or complex workers’ compensation claims.
- Background in manufacturing, industrial, or plant environments.
Work Environment
- Fully onsite position at a manufacturing facility in Claycomo, Missouri.
- Primarily office-based within a plant setting.
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