Workers Compensation Specialist Jobs in Illinois

Job Title:

Worker's Compensation Plant Representative

Position Description:

Primary Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management. Plant-based position.

Skills Required:

• Workers' Compensation

Experience Required:

3-5 years of Workers' Compensation claims management experience

Education Required:

High School Diploma / GED

Education Preferred:

Bachelor's Degree

Additional Information:

• 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 claims 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.

• Position is Fully Onsite