Claims & Risk Management Specialist

LAUNCH Technical Workfo•Oak Brook, IL

1d•$24 - $26

About The Position

The Claims & Risk Management Specialist provides administrative support to the Claims & Risk Management Department and handles workers’ compensation claims from opening through closure, under supervision, for Report Only, Medical Only, Modified Duty, and Lost Time claims. The role supports injured employees throughout the workers’ compensation process and coordinates benefits among employees, recruiters, payroll, clients, and the insurance company. The position conducts incident investigations and root cause analyses, reviews evidence and claim documentation, coordinates medical care and post-accident drug screening, maintains claim files, and communicates with employees, clinics, clients, insurers, attorneys, and claim examiners. It also supports return-to-work and transitional-duty programs, tracks modified-duty reports for Payroll, analyzes claim trends, and recommends improvements to safety, claim handling, and cost control. Additional duties include participating in claim reviews and department audits, responding to client set-up requests, educating clients on injury protocols, training staff on risk and safety topics, attending recruiter meetings, processing payments as needed, maintaining injury and safety walkthrough records, supporting educational programs and safety walkthroughs, and staying current on OSHA requirements. The position requires flexibility to support multiple shifts and time zones, occasional travel with little notice, and availability for occasional evenings, weekends, holidays, and after-hours calls.

Requirements

At least 2 years of customer service, human resources, or administrative experience.
Experience working in an office environment.
Strong technical skills, including Microsoft Word, Excel, and PowerPoint.
Strong business acumen, multitasking, and organizational skills.
Excellent written and verbal interpersonal skills.
Ability to build rapport with internal staff and clients or customers.
Ability to work in a fast-paced environment and maintain high-quality work while meeting strict deadlines.
Motivated, self-starting, goal-oriented, and accomplishment-oriented approach.
Meticulous attention to detail.
Ability to travel with little notice.
Ability to work flexible hours supporting multiple shifts and time zones, including occasional evenings, weekends, and holidays, and answer after-hours calls.
Ability to adhere to LAUNCH’s Mission and Values.

Nice To Haves

Associate degree preferred.
Bilingual ability preferred.

Responsibilities

Provide general administrative support for the Claims & Risk Management Department.
Handle workers’ compensation claims from opening through closure under supervision, including Report Only, Medical Only, Modified Duty, and Lost Time claims.
Support injured employees throughout the workers’ compensation process and coordinate benefits with recruiters, payroll, clients, and the insurance company.
Conduct incident investigations and root cause analyses, and develop recommendations to prevent recurrence of accidents or injuries.
Receive, sort, and scan incoming mail; review and upload client safety documentation; and maintain and update claim files.
Participate in an on-call claim rotation and examine photographs, video surveillance, audio clips, statements, and other claim documentation.
Authorize medical care and post-accident drug screening, and follow up on missing medical dictation and drug screens.
Maintain open communication with employees, clinics, clients, and the insurance company to support efficient and effective claim handling.
Initiate claim-status discussions with claim examiners and attorneys to improve claim handling, expedite resolution, and control cost and severity.
Support corporate-wide return-to-work and transitional-duty programs by creating and sending modified-duty assignments to injured workers.
Document telephone conversations, written statements, medical reports, accident investigation results, and medical bill payments.
Track and send modified-duty reports to Payroll.
Analyze claim trends and recommend improvements to safety and claims management.
Serve as an additional point of contact and resource on company workers’ compensation policies, procedures, and regulations for employees, insurance carriers, broker client advocates, attorneys, claim examiners, and medical providers.
Participate in periodic claim reviews and assist with department audits.
Respond to client set-up requests and educate clients on the organization’s injury protocols and processes.
Conduct annual and regular staff training on risk and safety topics, and attend weekly recruiter meetings.
Approve and issue payments for bills and invoices as needed.
Log and save personal injury and safety walkthrough forms.
Participate in implementing educational programs that promote risk management and conduct safety walkthroughs of client sites as needed.
Stay educated on OSHA regulations and requirements, and assist with additional department tasks as needed.