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.
Experience Required:
3-5 years of Illinois 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 clams within designated authority level.
• Prepare necessary state filings within statutory limits.
• Coordinate vendor referrals for additional investigation and/or litigation management. • Use appropriate cost containment techniques, including strategic vendor partnerships, to reduce the 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. Fully Onsite.
Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you’ll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/