Position Overview : We are seeking a dedicated Workers' Compensation Claims Handler at our Plant, focusing on excellent customer service, quality claims handling, and cost management.

Key Responsibilities :

• Analyze and process complex or technically challenging workers' compensation claims.
• Manage a full caseload, handling cases of increased severity with expertise.
• Oversee Workers’ Compensation Lost Time claim handling.
• Develop and execute action plans to ensure timely and cost-effective claim resolutions.
• Calculate and assign appropriate reserves, manage reserve adequacy throughout the claim's lifecycle.
• Calculate and pay benefits due; approve and make timely claim payments and adjustments; settle claims within designated authority levels.
• Prepare and submit necessary state filings within statutory limits.
• Coordinate vendor referrals for further investigation or litigation management.
• Utilize cost containment techniques and strategic vendor partnerships to reduce overall claim costs.
• Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets.
• Report claims to the excess carrier.
• Maintain clear communication with claimants and clients regarding claim activity and processing.
• Ensure proper documentation and accurate claim coding.
• Refer cases to supervisors or management as needed.

Skills Required :

• Strong analytical and investigative abilities for complex claims.
• Proven capability to handle a full caseload effectively.
• Experience in Workers’ Compensation Lost Time claim handling.
• Excellent oral and written communication skills.
• Proficiency in Microsoft Office products.
• Strong analytical, interpretive, and organizational skills.
• Excellent negotiation and interpersonal skills.
• Ability to work collaboratively in a team environment.

Experience Required :

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

Education Required :

• College degree and 3-5 years of related claims management experience or an equivalent combination of education and experience.
• High school diploma and 3-5 years of related Illinois claims experience also accepted.

Additional Information : The successful candidate will start fully onsite, with the potential for a hybrid schedule once fully trained.