Accidental Death and Dismemberment (AD&D), Alliance/Partner Management, Claims Coding, Claims Management, Claims Processing, Compensation and Benefits, Cost Control, Customer Service Evaluation, Customer Support/Service, Data Collection, High School Diploma, Litigation, Medicare, Process Analysis, State Laws and Regulations, Subrogation, Time Management, Vendor/Supplier Planning, Worker's Compensation
Position Description:
- Workers' Compensation Claims Handler at the plant with a focus on excellent customer service, quality claims handling, and loss cost management.
- Plant-based position
Responsibilities:- 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 Required: Experience Required:- 3-5 years of Workers' Compensation claims management experience
Education Required:- High School Diploma / GED
Education Preferred: Additional Information: We offer attractive, competitive compensation and benefits including, medical, dental, 401k, short-term disability, AD&D, tuition reimbursement, and more. If you take pride in your work and are committed to personal and professional success, let's talk. Please visit www.zobility.com to learn more.
Zobility is RGBSI's workforce management and staffing division. RGBSI is a multi-national corporation headquartered in Troy, MI with branches throughout the USA, Canada, Germany, and India.