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Compensation Analyst

4 months ago

Louisville, United States EPITEC Full time

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.

Skills Required:

  • 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 Preferred:

  • Excellent oral and written communication skills.
  • PC literate, including Microsoft Office products.
  • Analytical and interpretive skills.
  • Strong organizational skills.
  • Good interpersonal skills.
  • Excellent negotiation skills.
  • Ability to work in a team environment.

Experience Required:

  • 1-3 years of Kentucky Workers' Compensation claims management experience

Experience Preferred:

Education Required:

  • College degree and 1-3 years of Kentucky claims management experience or equivalent combination of education and experience preferred.
  • High school diploma and 1-3 years related Kentucky claims experience accepted

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