Worker Compensation Claims Associate at PRI Technology in Chicago, Illinois

Posted in Other about 14 hours ago.

Type: full-time





Job Description:

Career Opportunity Excess Workers Compensation Claims Associate, Chicago, IL

Hybrid Schedule 2 Days Office / 3 Days remote

Our client, a major Excess Workers Compensation Management and Insurance Services Corporation, is a premier alternative risk transfer provider, offering innovative solutions for the unique needs of public entity and education clients. They take pride in being a long-term thought partner and provider of insurance and reinsurance to the public sector, K-12 and higher education self-insured individual risks, pools and trusts, etc. for over 30 years.

Description

The Claims Associate is responsible for handling claims from inception to closure in accordance with the Company's and the Industry's best claims practices.

Responsibilities:
• The Claims Associate will be responsible for providing technical claim handling, including adept recognition of exposure, reserve adjustment, identification and resolution of coverage issues, and overall loss mitigation.
• The Claims Associate handles all claims in a proactive manner by devising and executing an effective claim handling strategy.
• The Claims Associate prepares prompt, thorough, timely, and articulate reports and records.
• The Claims Associate adheres to the Company's technical and administrative standards/guidelines and remains current on industry standards/guidelines and legal decisions that impact claim handling and exposures.
• The Claims Associate is expected to travel as necessary and as required by the Company.

Role Qualifications and Experience
• A minimum of 5 years' experience in insurance technical claim handling of lost time / indemnity / permanent disability workers' compensation claims; multiple jurisdictions, carrier background preferred.
• Fluent in common medical terminology and complex medical conditions required.
• Knowledge of workers compensation litigation processes.
• Knowledge of final claim settlement, including MSA (Medicare Set Asides) etc. processes.
• Undergraduate college degree.
Demonstrates competence in:
  • Analytical and organizational Skills, Interpersonal skills; Industry designations/course work a plus.
  • Prior experience in handling Excess Insurance for Self-Insurer of Workers Compensation a plus

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