Position: Workers Compensation Plant Rep III
Location: Chicago, IL (on-site)
Employment Type: Full-Time Contract
Pay: $31-33 per hour
Description: Workers’ Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management.
Responsibilities:
- Analyze and process complex or technically difficult workers’ compensation claims by investigating and gathering information to determine the exposure on the claim
- Ability to handle a full case load, with proven ability to handle cases of increased severity
- Workers’ Compensation Lost Time claim handling experience
- Manage claims through well-developed action plans to ensure timely and cost-effective resolutions
- Calculate and assign timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim
- Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle clams within designated authority level
- Prepare necessary state fillings within statutory limits
- Coordinate vendor referrals for additional investigation and/or litigation management
- Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims
- Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets
- Report claims to the excess carrier
- Communicate claim activity and processing with the claimant and the client
- Ensure claim files are properly documented, and claims coding is correct
- Refer cases as appropriate to supervisor and management
Requirements:
- High School Diploma/GED
- Bachelor’s degree preferred
- 3-5 years of Illinois Worker’s Compensation claims management experience
- Ability to manage complex or higher severity cases independently
- Strong organizational, analytical, and communication skills
- Comfortable working fully onsite in a manufacturing/plant environment
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