Workers' Compensation Specialist

4 days ago

Chicago, United States EPITEC Full time

Job Posting: Workers' Compensation Claims Handler

Location: Chicago, IL

Work Schedule: Plant-based position with a potential hybrid schedule after full training


Position Overview:

We are seeking a skilled and customer-focused Workers' Compensation Claims Handler to manage complex claims efficiently while ensuring excellent service and cost control. The ideal candidate will possess in-depth knowledge of Illinois Workers' Compensation laws and have proven experience in lost-time claims handling.


Key Responsibilities:

  • Investigate and process complex Workers' Compensation claims to assess exposure and liability.
  • Handle a full caseload, including cases of increased severity, with well-developed action plans for timely resolution.
  • Assign and manage reserves throughout the claim lifecycle.
  • Calculate and issue benefits, make adjustments, and settle claims within authority levels.
  • Prepare and submit required state filings within statutory deadlines.
  • Coordinate vendor referrals for investigations or litigation management as needed.
  • Utilize cost containment techniques, including strategic vendor partnerships, to manage overall claim expenses.
  • Manage claim recoveries such as subrogation, Second Injury Fund excess recoveries, and Social Security/Medicare offsets.
  • Report claims to excess carriers and ensure accurate documentation of claim files.
  • Communicate claim activity and resolutions effectively with claimants and clients.
  • Refer cases to supervisors or management when necessary.


Required Skills and Qualifications:

  • Proven ability to handle complex Workers’ Compensation Lost Time claims.
  • Proficiency in developing and executing action plans for cost-effective resolutions.
  • Strong communication, negotiation, and interpersonal skills.
  • Analytical and interpretive abilities to evaluate claims effectively.
  • Proficiency in Microsoft Office and other PC applications.


Preferred Skills:

  • Experience with strategic vendor management and cost reduction strategies.
  • Ability to work collaboratively in a team environment.


Required Experience:

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


Education:

  • College degree preferred, or equivalent combination of education and 3-5 years of relevant Illinois claims experience.
  • High school diploma with 3-5 years of related experience will be considered.


Additional Information:

  • Initial onsite work is required for training.
  • Hybrid work schedule may be considered after training is complete (date to be determined).

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