at Advantage Technical Services, Inc in Chicago, Illinois, United States
Job Description
Position Title: Workers Compensation Plant Rep III
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.
Responsibilities to include:
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 Required:
Excellent oral and written communication skills.
PC literate, including Microsoft Office products.
Analytical and interpretive skills.
Excellent negotiation skills.
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
3-5 years related Illinois claims experience accepted
After you have applied, download our Staffmark Group WorkNOW App to receive real-time job offers and apply for additional opportunities. You can download it from the App Store or get it on Google Play. About Advantage Technical
With company roots going back over 30 years, Advantage Technical is an engineering and information technology services company and a national leader in the provision of technical resources today. These services include Staff Augmentation, Direct Placement, Project Resourcing and Outsourcing - delivered from 40 key market locations, by over 3500 specialized contractors, to over 500 clients across North America. Advantage Technical is a Best of Staffing Diamond Award winner for both Clients and Talent. For more information about the industries and services offered by Advantage Technical, please visit AdvantageTechnical.com.
Advantage Technical is committed to providing equal employment opportunity for all persons regardless of race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. If you require a reasonable accommodation, contact your local branch. Advantage Technical is an E-Verify employer. This policy is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and... For full info follow application link.
Advantage Technical is committed to providing equal employment opportunity for all persons regardless of race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. If you require a reasonable accommodation, contact us. Advantage Technical is an E-Verify employer. This policy is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and other terms and conditions of employment.
