Claims Workers Compensation Loss Time Representative (remote)

Responsibilities

• Investigate, evaluate and negotiate settlement of WC Loss Time claims
• Oversight of all vendor and legal activities related to WC claims
• Establish and maintain positive relationships with internal and external customers
• Provide excellent customer service including timely initial and follow-up communication
• Comply with all special handling commitments within the Account Stewardship program
• Effectively manage litigated and large catastrophic claims
• Maintain file notes outlining actions taken and plan of action for future handling
• Effectively manage loss severity through utilization of medical cost management resources and pursuit of early return to modified and full duty work
• Follow through on all special claim handling agreements for Account Stewardship program
• Maintain work activities to ensure proactive claim resolution
• Establish appropriate initial reserves and revise consistent with reserve best practices
• Timely completion of all required state reporting
• Identify, investigate and pursue claims involving subrogation and potential fraud
• Manage all vendor activities and expense payments
• Maintain current knowledge of Workers’ Compensation laws and claim handling procedures in designated states

Qualifications

Ability to effectively manage litigated and large catastrophic claims.

Maintain work activities to ensure proactive claim resolution.

Establish appropriate initial reserves and revise consistent with reserve best practices.

Timely completion of all required state reporting.

Identify, investigate and pursue claims involving subrogation and potential fraud.

Manage all vendor activities and expense payments.

Maintain current knowledge of Workers’ Compensation laws and claim handling procedures in designated states.