Workers' Compensation Claims Handler

Job Description

Job 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; 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:

• Claims, Customer Service

Experience Required:

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

Education Required:

• High School Diploma / GED

Education Preferred:

• Bachelor's Degree

Additional Information:

• Fully Onsite.

Zobility is RGBSI's workforce management and staffing division. RGBSI is a multi-national corporation headquartered in Troy, MI with branches throughout the USA, Canada, Germany, and India.

Company Description

Zobility is RGBSI's workforce management and staffing division. RGBSI is a multi-national corporation headquartered in Troy, MI with branches throughout the USA, Canada, Germany, and India.