Claims Analyst - Workers Compensation

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 claims 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 skills.
• Strong organizational skills.
• Good interpersonal skills.
• Excellent negotiation skills.
• Ability to work in a team environment.

Experience Required:

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

Education Required:

• College degree and 3-5 years of Illinois claims management experience or equivalent combination of education and experience preferred.
• High school diploma and 3-5 years related Illinois claims experience accepted.