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Risk Management Specialist

2 months ago

Kissimmee, United States KO Business Solutions Full time

KO Business Solutions is a familyowned consulting and staffing agency in the Chicagoland area that supports the hiring needs of companies across the country. Our valued industrial staffing partner is looking for a Risk Management Specialist to join their team


Location: Onsite Hillside IL

Schedule: Monday Friday 40 hours/week

Payrate: $20/hr

JobType: 3month contract w/ opportunity for conversion

Language: Bilingual in English & Spanish

The Risk Management Specialist is primarily responsible for the daytoday management of our partner s workers compensation claims. This individual will actively manage claims activities ensuring efficient processing and resolution. They will also maintain regular communication with carriers thirdparty administrators (TPAs) medical providers and other branches to facilitate timely claim adjudication and compliance. The Risk Management Specialist plays a vital role in maintaining clear communication accurate documentation and ensuring all claims are managed in line with company policies.


Duties & Responsibilities:

  • Monitor and track claims activity working closely with carriers and TPAs to ensure efficient processing and appropriate adjudication of workers compensation claims.
  • Collaborate with medical providers to obtain and follow up on work status reports ensuring uptodate information on employees medical conditions and work capabilities.
  • Schedule and coordinate periodic claims reviews with carriers brokers and legal teams and prepare supporting documentation for these meetings.
  • Maintain accurate records of claims communications and other related documents; prepare and distribute comprehensive reports summarizing claims data trends and potential issues.
  • Analyze investigate and assess losses to determine coverage and claim resolution providing necessary information to management and underwriting teams.
  • Ensure compliance with corporate policies procedures statutory regulations and ethical guidelines when managing claims.
  • Provide general administrative support related to workers compensation claims including data entry filing and handling correspondence.
  • Assist with other administrative tasks as assigned and support the team in managing additional responsibilities as they arise.


Qualifications:

  • High School Diploma or GED required. Associate s degree in business administration or related fields preferred.
  • 12 years of experience in dataentry
  • BiLingual in English and Spanish is highly preferred.
  • Excellent verbal and written communication skills.
  • Excellent interpersonal and customer service skills.
  • Excellent organizational skills and attention to detail.
  • Ability to function well in a highpaced and at times stressful environment.
  • Proficient with Microsoft Office Suite or related software.

Benefits:

  • Medical Dental and Vision Insurance provided upon successful conversion.
  • Paid Time Off Benefits including Vacation Pay Sick Leave Holiday Pay etc.


Work Environment:


The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This work environment is an office setting where work is performed sitting at a desk. The noise level in the work environment is usually quiet but can become louder based on the volume of incoming candidates. When traveling to client sites the work environment is a light industrial/manufacturing setting which often times can be a louder cold and dusty environment. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.


Physical Demands:


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit and use hands to finger handle or feel. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds. The employee will also be required to travel to client locations and which requires their own transportation.



Equal Opportunity Employer:

KO Business Solutions is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.

Job Type: 3month contract with opportunity for conversion
Rate of Pay: $20/hr
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