Workers Compensation Claims Administrator

Uhs • King of Prussia, PA

93d

About The Position

Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. The company has built an impressive record of achievement and performance, growing steadily since its inception into an esteemed Fortune 300 corporation with annual revenues of $15.8 billion in 2024. UHS was recognized as one of the World's Most Admired Companies by Fortune and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries, operating acute care hospitals, behavioral health facilities, outpatient facilities, and ambulatory care access points, as well as an insurance offering and a physician network across the U.S., Washington, D.C., Puerto Rico, and the United Kingdom.

Requirements

• Bachelor's degree required.
• Minimum of 3-5 years of workers compensation experience required.
• Working knowledge of workers' compensation in various jurisdictions, especially midwestern states and Texas preferred.
• Understanding of case reserving methodology.
• Excellent judgment needed to evaluate claim adjuster's claim management activities.
• Excellent analytical and organizational skills needed.
• Working knowledge of WC loss sensitive insurance programs.
• Ability to understand accounting reserves and payments.
• Proficient with Microsoft Office products (EXCEL, WORD, OUTLOOK).
• Ability to communicate effectively, primarily via telephone.
• Ability to manage multiple priorities.

Nice To Haves

• Experience in a hybrid work environment.

Responsibilities

• Interface and strategize with claim adjusters, defense attorneys, facility Human Resource Directors/staff, and Loss Control Managers.
• Work directly as a team member with other claims professionals, reporting to the WC Claims Manager.
• Manage all assigned claims to closure, monitoring nurse case management activity and evaluating settlement authority proposals.
• Collaborate on action plans as needed and evaluate claim life exposure.
• Identify opportunities for quick and cost-effective claim mitigation and resolution.
• Coordinate the return to work of disability claims and evaluate claim settlement proposals.
• Analyze and provide recommendations for claims.
• Oversee claim handling for multi-jurisdictions, ensuring quality assurance through monitoring for compliance with internal standards.
• Conduct strategic reviews to identify trends, set mitigation goals, and improve outcomes.
• Evaluate claim trending to determine focus and goals for mitigation.
• Manage financial impact of $4 million in losses with a $60,000 Claim Settlement Authority.
• Assist WC Manager and Loss Control Director on special projects as needed.

Benefits

• Competitive compensation.
• Excellent Medical, Dental, Vision and Prescription Drug Plan.
• 401k with company match.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Personal and Laundry Services
• Education Level: Bachelor's degree