Workers' Compensation Specialist

Job Responsibilities

• 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; manage 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 filings within statutory limits.
• Cook 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.

Skills Required

• Claims
• Customer Service

Experience Required

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

Education Required

• High School Diploma / GED