Claim Professional I

Responsibilities

• Communicates effectively with injured workers, medical professionals, insurers, brokers, internal/external counsel, corporate management, and various related regulatory agencies.
• Develops and maintains project-specific workers’ compensation claims manual (assigned projects) including medical panel, related processes and procedures for statutory and USL&H claims.
• Implements improvements based on lessons learned, legislative changes or Court decisions, and Bechtel operating imperatives.
• Aids project management to include ES&H, Labor Relations, Industrial Relations and onsite medical.
• Develops and provides onsite training related to workers’ compensation.
• Develops and prepares regular reports outlining project claims performance.
• Makes sure claims are being filed timely, managed per their respective jurisdiction, State specific guidelines are met by Employer, while working closely with the assigned TPA/Insurer.
• Investigates and documents eligibility for workers’ compensation benefits and communicates same to insurer and related interested parties.
• Assists with investigation and coordination of issues surrounding subrogation.
• Interprets laws and regulations, determines appropriate courses of action, and presents solutions to resolve the claims.
• Identifies potential subrogation issues.
• Maintains Project Risk Management Information System (RMIS) for assigned projects.
• Directs and monitors the activities and performance of Bechtel’s insurance provider to ensure compliance with applicable regulations.
• Implements, monitors, and ensures compliance of “Special Account” requirements.
• Conducts regular claim reviews, claim audits and prepares related reports.
• Interfaces with insurer to effectively manage claims, including but not limited to authorizing claim reserve changes, authorizing insurer referral to outside counsel, and assessing and approving settlement strategies.
• Captures and coordinates early return to work.
• Manages relationships with onsite clinic, panel/network physicians and other medical providers, to ensure effective claims management and return to work.
• Works with injured worker and supervision on developing and implementing return to work plan.
• Assists in management fitness for duty and ADA accommodation issues as needed.
• Assists Bechtel Insured Claims in the defense of litigation or other complex case support. (i.e., responding to interrogatories and other discovery requests).
• Assists with gathering information and filing auto and other insured claims. Assists with administration of auto and other insured claims as needed.

Requirements

• Requires a Bachelor’s Degree or at least 5 years of experience in the field or in a related area.
• Extensive knowledge of / experience with workers’ compensation and occupational rehabilitation procedures, practices and processes.
• Extensive knowledge of claim’s resolution techniques and strategies, legal principles related to claim resolution and familiarity with all phases of the litigation process.
• Working knowledge of / experience with bodily injury and 1st and 3rd party property damage claims practices and processes.
• Working knowledge of / experience with auto and other insured claims practices and procedures.
• Highly skilled in written and verbal communication.
• Bilingual language proficiency (i.e., English and Spanish) is a plus.

Pay

The salary range for this position (intended for U.S. applicants) is $80,000-$100,000 annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location.

Benefits

Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon’s discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions.