Workers Compensation Plant Rep

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 with hybrid work schedule to be considered.

Skills Required:

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 Preferred:

Excellent oral and written communication skills. • PC literate, including Microsoft Office products. • Analytical and interpretive...