Description :

Primary Workers' Compensation Claims Handler at with a focus on excellent customer service, quality claims handling, and loss cost management.

Plant-based position with hybrid work schedule to be considered.

Experience Preferred : 1-3 years of Kentucky Workers' Compensation claims management experience.

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.
• 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 Preferred : Excellent oral and written communication skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Good interpersonal skills.
• Excellent negotiation skills.
• Ability to work in a team environment.

Skills :

claims, workers compensation claims, claim, workers' compensation, claims adjusting, claims processing, workers compensation litigation, excel

Top Skills Details : claims

claims

Experience Level : Intermediate Level

Intermediate Level

About Aston Carter :

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies.

We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence.

With offices across the ., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing double diamond winner for both client and talent service.

Diversity, Equity & Inclusion

At Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through :

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.