Workers Compensation Specialist

Aston Carter • Kansas City, MO

3d • $29 - $29 • Onsite

About The Position

The position of Workers' Compensation Specialist involves serving as the primary handler for workers' compensation claims at the plant. The role emphasizes excellent customer service, quality claims handling, and effective loss cost management. This is a plant-based role.

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
• Quality claims handling and loss cost management experience

Responsibilities

• Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
• Handle a full caseload, with proven ability to manage 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.
• Coordinate vendor referrals for additional investigation and/or litigation management.
• Use 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.
• Ensure claim files are properly documented, and claims coding is correct.
• Refer cases as appropriate to supervisor and management.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED