Workers Compensation Plant Rep II

Workers' Compensation Plant Representative II

Location: Claycomo, MO (Onsite)
Schedule: Morning Shift
Employment Type: Long-Term Contract (W2)
Duration: 1 year
Pay: Market Rate

Position Overview

We are seeking an experienced Workers' Compensation Plant Representative II to serve as the primary Workers' Compensation Claims Handler at a manufacturing facility in Claycomo, Missouri. This onsite role focuses on delivering exceptional customer service, effective claim management, and cost-containment strategies while ensuring compliance with Missouri workers' compensation regulations.

Key Responsibilities

• Manage and process complex workers' compensation claims from inception through resolution.
• Investigate claims, gather relevant information, and determine claim exposure.
• Handle a full caseload, including claims with increased severity and complexity.
• Develop and execute action plans to achieve timely and cost-effective claim outcomes.
• Establish, monitor, and adjust claim reserves throughout the life of each claim.
• Calculate and issue benefit payments while ensuring accuracy and regulatory compliance.
• Prepare and submit required state filings within statutory deadlines.
• Coordinate with legal counsel, investigators, medical providers, and other vendors as needed.
• Utilize cost-containment strategies and vendor partnerships to reduce claim costs.
• Manage claim recoveries, including subrogation, Second Injury Fund recoveries, and Social Security/Medicare offsets.
• Report applicable claims to excess insurance carriers.
• Communicate claim status and updates effectively with claimants and business stakeholders.
• Maintain accurate claim documentation and coding within claim management systems.
• Escalate complex issues to management as appropriate.

Required Qualifications

• High School Diploma or GED.
• 3-5 years of Missouri Workers' Compensation Claims Adjusting experience.
• Experience handling Workers' Compensation Lost Time claims.
• Strong knowledge of workers' compensation regulations, claims investigations, and settlement processes.
• Ability to manage multiple claims simultaneously in a fast-paced environment.
• Excellent communication, organization, and problem-solving skills.

Preferred Qualifications

• Bachelor's Degree.
• Experience handling high-severity or complex workers' compensation claims.
• Background in manufacturing, industrial, or plant environments.

Work Environment

• Fully onsite position at a manufacturing facility in Claycomo, Missouri.
• Primarily office-based within a plant setting.

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