Workers Compensation Plant Rep - Acro HR Solutions (India) : Job Details

Job Title:- Workers Compensation Plant Rep

Duration:- 70- Months- months position (May go Longer)

Location:- CHICAGO,IL

Standard Shift: Day

Work Hours: 8:00 AM to 4:30 PM

The candidate will work fully onsite initially with the potential to work a hybrid schedule once they are fully trained. Date to be determined.

Job 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 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

Experience Preferred:

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

Education Preferred:

Additional Safety Training/Licensing/Personal Protection Requirements:

Additional Information :

The candidate will work fully onsite initially with the potential to work a hybrid schedule once they are fully trained. Date to be determined.