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Optimal
Chicago, IL | Full Time
$114k-149k (estimate)
2 Months Ago
Workers Compensation Claims Analyst
Optimal Chicago, IL
$114k-149k (estimate)
Full Time | IT Outsourcing & Consulting 2 Months Ago
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Optimal is Hiring a Workers Compensation Claims Analyst Near Chicago, IL

Position Description:
Primary Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management. Plant-based position with hybrid work schedule to be considered.

Skills Required:
Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering

  • information to determine the exposure on the claim
  • Ability to handle a full case load, with proven ability to handle cases of increased severity.
  • Workers' Compensation Lost Time claim handling experience
  • Manage claims through well-developed action plans to ensure timely and cost-effective resolutions.
  • Calculate and assign timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle clams within designated authority level.
  • Prepare necessary state fillings 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.


Education Required:

College degree and 3-5 years of Illinois claims management experience or equivalent combination of education and experience preferred.

High school diploma and 3-5 years related Illinois claims experience accepted

Job Summary

JOB TYPE

Full Time

INDUSTRY

IT Outsourcing & Consulting

SALARY

$114k-149k (estimate)

POST DATE

07/20/2024

EXPIRATION DATE

09/19/2024

WEBSITE

optimalsocial.com

HEADQUARTERS

San Francisco, CA

SIZE

25 - 50

INDUSTRY

IT Outsourcing & Consulting

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