Workers Compensation Claims Analyst

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; manage reserve adequacy throughout the life of the claim.
• Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle claims within designated authority level.
• Prepare necessary state filings 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.

• Claims
• Customer Service

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

High School Diploma / GED

Full Onsite