Plant-Based Workers' Compensation Claims Handler

3 weeks ago


Chicago, Illinois, United States G-TECH Services, Inc. Full time
Job Title:

Plant-Based Workers Compensation Claims Handler

About the Company:

G-TECH Services, Inc. is a leading certified recruitment and placement firm that specializes in providing highly skilled staff in technical fields such as engineering, IT, procurement, finance and accounting.

About the Role:

We are seeking a highly skilled Plant-Based Workers Compensation Claims Handler to join our team. As a Plant-Based Workers Compensation Claims Handler, you will be responsible for handling complex claims with excellent customer service, quality claims handling, and loss cost management.

This is a full-time position with a hybrid work schedule to be considered once fully trained.

The ideal candidate will have 3-5 years of Illinois Workers' Compensation claims management experience and a college degree or equivalent combination of education and experience.

Responsibilities:
  • Analyze and process complex workers compensation claims by investigating and gathering information to determine exposure on the claim.
  • Handle a full case load with proven ability to handle cases of increased severity.
  • 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 claims 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.
Estimated Salary:

$65,000 - $90,000 per year, depending on experience.

Requirements:
  • 3-5 years of Illinois Workers' Compensation claims management experience.
  • College degree and 3-5 years of Illinois claims management experience or equivalent combination of education and experience preferred.
  • High school diploma and 3-5 years related Illinois claims experience accepted.


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