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Claims Analyst

4 months ago

Wayne, United States Optimal Inc. Full time
Job DescriptionJob Description

Position Description:

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:

  • Set up and enter new claims into the claim management system, ensuring claim coding is correct and files are properly documented.
  • Perform critical claim technical tasks including plant investigations and 3-point contacts.
  • Interview claimants, employers, medical professionals, legal counsel and witnesses and prepare thorough investigation summaries.
  • Prepare files for outside counsel.
  • Assist in management of all elements of claim files to reduce or maintain medical costs, lost time duration and litigation expenses.
  • Participate in case management meetings and collaborate with medical, human resources and labor to facilitate a return to-work plan for workers' compensation and related absences.
  • Supports other claim representatives with larger or more complex claims as necessary.
  • Process medical and related expense payments
  • Ability to interpret and analyze complex information.
  • Excellent verbal, written and interpersonal communication skills.
  • Work collaboratively and effectively in a team environment.
  • Organize and prioritize workload and manage multiple priorities.
  • Ability to work a flexible work schedule.
  • Maintain professional client relationships

Experience Required:

  • 1-3 years of related Workers' Compensation experience

Education Required:

  • High school diploma or equivalent.