Chicago, IL, US
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:
- 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.
Experience Required:
3-5 years of Illinois Workers' Compensation claims management experience
Education Required:
High School Diploma GED
Fully Onsite.
