Workers Compensation Claims Analyst

Optimal Staffing

  • Chicago, IL
  • 6 days ago

    Highlights

    Primary Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management. Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

    Numbers & Facts

    LocationChicago, IL

    Description

    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. 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.

    Skills Required:
    Claims, Customer Service

    Experience Required:
    3-5 years of Illinois Workers' Compensation claims management experience

    Education Required:
    High School Diploma / GED

    Full Onsite



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