Workers Compensation Plant Rep III

Position: Workers Compensation Plant Rep III

Location: Chicago, IL (on-site)

Employment Type: Full-Time Contract

Pay: $31-33 per hour 

Description: Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management.

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

Requirements:

• High School Diploma/GED 
• Bachelor’s degree preferred 
• 3-5 years of Illinois Worker’s Compensation claims management experience
• Ability to manage complex or higher severity cases independently
• Strong organizational, analytical, and communication skills
• Comfortable working fully onsite in a manufacturing/plant environment

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