Workers Compensation Specialist

Aston Carter • Kansas City, MO

5d • $29 - $29 • Hybrid

About The Position

The Workers' Compensation Specialist serves as the primary handler for workers' compensation claims at the plant. The role focuses on excellent customer service, quality claims handling, and effective loss cost management. It is described as a plant-based role and a long-term, open-ended contract opportunity. The posting gives conflicting work arrangement information: the Work Environment section says fully onsite, while the Workplace Type section identifies it as hybrid.

Requirements

• Workers' compensation claims-handling experience.
• Customer service skills.
• Administrative and clerical skills.
• Experience in claims handling and loss cost management.
• 3–5 years of Missouri Workers' Compensation claims-adjusting experience.
• Minimum high school diploma.
• Office and administrative experience.
• Strong customer service skills.
• Experience with quality claims handling and loss cost management.

Responsibilities

• Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine claim exposure.
• Handle a full caseload, including cases of increased severity.
• Manage claims through action plans to achieve timely and cost-effective resolutions.
• Calculate and assign appropriate reserves, and manage reserve adequacy throughout each claim.
• Calculate and pay benefits; approve and make timely claim payments and adjustments; and settle claims within the designated authority level.
• Prepare required state filings within statutory limits.
• Coordinate vendor referrals for additional investigation and litigation management.
• Use cost-containment techniques, including strategic vendor partnerships, to reduce overall claim costs.
• Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets.
• Report claims to the excess carrier.
• Communicate claim activity and processing with claimants and the client.
• Ensure claim files are properly documented and claim coding is correct.
• Refer cases to a supervisor and management as appropriate.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Critical Illness, Accident, and Hospital coverage
• 401(k) retirement plan, with pre-tax and Roth post-tax contributions available
• Voluntary life and AD&D insurance for the employee and dependents
• Short- and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time off/leave, including PTO, vacation, or sick leave

What This Job Offers

• Education Level: High school or GED