Workers Compensation Claims Administrator

UHS•King of Prussia, PA

11d•Hybrid

About The Position

Universal Health Services (UHS) is seeking a Workers' Compensation Claim Administrator for its Corporate Insurance Department. This role is responsible for reducing exposure and mitigating costs by interfacing and strategizing with claim adjusters, defense attorneys, facility Human Resource Directors/staff, and Loss Control Managers. The position involves working as a team member with other claims professionals, reporting to the WC Claims Manager. Candidates in the King of Prussia, PA area will follow a hybrid schedule (three days onsite, two days remote), while qualified candidates outside the area may be eligible for a fully remote arrangement.

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 in order to mitigate claim expenses.
Strong 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 is a must as position is primarily telephone contact.
Ability to manage multiple priorities.

Nice To Haves

Working knowledge of workers’ compensation in various jurisdictions, especially midwestern states and Texas preferred.

Responsibilities

Interface and strategize with claim adjusters, defense attorneys, facility Human Resource Directors/staff and Loss Control Managers.
Works directly as a team member with other claims professionals, reporting to the WC Claims Manager; responsible for reducing exposure and mitigating costs.
Manages all assigned claims to closure: Monitors nurse case management activity; monitors use of interfaces with defense attorneys and claim adjusters; evaluates settlement authority proposals.
Collaborates on action plans as needed and evaluation of claim life exposure.
Identify opportunities for quick and cost effective claim mitigation and resolution, coordinate the return to work of disability claims, evaluate claim settlement proposals, and analyze and provide recommendations.
Oversee claim handling for multi-jurisdictions, ensuring quality assurance through monitoring for compliance with internal standards and conducting strategic reviews to identify trends, set mitigation goals and improve outcomes.
Evaluate claim trending to determine focus and goals for mitigation.
Responsible for managing financial impact of $4 million in losses.
Assists WC Manager and Loss Control Director on special projects as needed.