Workers Compensation Plant Rep II

This is a hands-on, onsite position where you’ll work closely with employees, leadership, medical providers, and legal partners to ensure claims are handled accurately, efficiently, and in compliance with state regulations. In this role, you will manage a full caseload of workers’ compensation claims—focusing on high-quality claim handling, strong customer service, and effective cost control .

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Job Title: Workers Compensation Plant Rep II
Location: Dearborn, MI (Onsite)
Job Type: HR/Claims Rep
Shift: 8:00am-4:30pm
Expected hours per week (must include “per week”): 40/week
Pay Range (must include “per hour”): $29.00/hr
Job Description:
About the Role
We are seeking an experienced Workers’ Compensation Claims Handler to serve as the primary point of contact for all claims at a plant location. In this role, you will manage a full caseload of workers’ compensation claims—focusing on high-quality claim handling, strong customer service, and effective cost control.
This is a hands-on, onsite position where you’ll work closely with employees, leadership, medical providers, and legal partners to ensure claims are handled accurately, efficiently, and in compliance with state regulations.Key Responsibilities

• Manage a full caseload of workers’ compensation claims, including more complex and higher-severity cases
• Investigate claims by gathering facts, statements, and documentation to determine exposure and compensability
• Develop and execute strategic claim action plans to drive timely and cost-effective resolution
• Handle lost-time claims, including wage calculations and ongoing indemnity management
• Establish and maintain appropriate reserves, ensuring accuracy throughout the life of the claim
• Calculate and issue benefit payments; approve adjustments and settlements within authority level
• Prepare and submit state filings in compliance with statutory requirements
• Coordinate with vendors for investigation, medical management, and litigation support
• Utilize cost containment strategies (e.g., vendor partnerships, medical management tools)
• Manage claim recoveries including subrogation, Second Injury Fund, and Social Security/Medicare offsets
• Report claims to excess carriers when applicable
• Communicate proactively with claimants, plant leadership, HR, and external partners regarding claim status
• Maintain accurate, well-documented claim files and ensure proper claims coding
• Escalate complex or high-risk cases to leadership as appropriate

Required Qualifications

• 3–5+ years of Workers’ Compensation claims handling experience
• Proven experience handling lost-time claims and higher-exposure cases
• Strong knowledge of claims investigation, reserving, and benefit administration
• Ability to manage a full caseload independently
• Excellent communication, organization, and decision-making skills
• Comfortable working onsite in a plant/manufacturing environment

Preferred Qualifications

• Bachelor’s degree (or equivalent experience)
• Experience working in a self-insured or plant-based environment
• Familiarity with cost containment strategies and vendor management

Why This Role

• Opportunity to be the lead claims professional onsite
• High visibility with plant leadership and direct impact on operations
• Hands-on role with ownership of claims from intake through resolution
• Collaborative, team-oriented environment with strong cross-functional exposure

Benefits: 80 hours paid time off, and medical insurance contributions, dental vision and our 401k retirement savings plan

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