Workers Compensation Rep

Duration: 6 years contract + possible extension and / or hire
Position Summary:

·        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 with hybrid work schedule to be considered..

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

Skills Preferred:

·        Excellent oral and written communication skills.

·        PC literate, including Microsoft Office products.

·        Analytical and interpretive skills.

·        Strong organizational skills.

·        Good interpersonal skills.

·        Excellent negotiation skills.

·        Ability to work in a team environment.

Experience Required:

·        3-5 years of Illinois Workers' Compensation claims management experience

Education Required:

·        College degree and 3-5 years of Illinois claims management experience or equivalent combination of education and experience preferred.

High school diploma and 3-5 years related Illinois claims experience accepted