297220 - Workers Compensation Plant Rep III
- Post Date:May 17, 2022
- Apply Before: May 17, 2023
- Views 53
- Pay Rate 30.34
Primary Workers’ Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management.
• 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. • 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.
• Excellent oral and written communication skills. • PC literate, including Microsoft Office products. • Analytical and interpretive skills. • Strong organizational skills. • Good interpersonal skills. • Excellent negotiation skills. • Ability to work in a team environment
3 years of claims management experience or equivalent combination of education and experience • Extensive knowledge of accepted industry standards and practices. • Computer experience with related claims and business software
Appropriately licensed and/or certified in all states in which claims are being handled , preferred
High school diploma
Additional Safety Training/Licensing/Personal Protection Requirements:
Additional Information :
****To replace #282655 for the Buffalo Stamping Plant****