Workers Compensation Plant Rep - Louisville, United States - G-TECH Services, Inc.

Description

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


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


Category _Benefits_


Function _HR / Benefits_


Req ID _JN _