POSITION SUMMARY
The Self-Insured Claims Managers’ overall objective is to manage workers’ compensation claims from start to finish. In addition, this position requires direct contact with client to educate, advise, and recommend best practices for claims management.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following:
- Independent discretion and control over day to day claims management.
- Handicap Reimbursement – Identify, filing and attendance at hearings.
- Lump Sum Settlements – Identify, negotiation, customer contact and filing.
- Review of new injuries: certification/rejection, return to work information.
- RTW practices – Knowledge of and recommendations to the employer.
- Client Contact – In person and by phone for current customers. Also to work with Client Relations Managers for prospective customers as needed.
- Employer Education - Knowledge of and recommendations to employer regarding cost containment strategies.
- IME/IMR determination, report review and submission.
- Review of all BWC/IC letters, notices and orders and respond to all requests as necessary.
- Make appropriate recommendations to clientele regarding appeals and responses.
- Complete analysis of new client’s losses and attend initial “meet and greet” as determined by assigned CRM to discuss claim strategies/plan of action.
- Review and preparation of hearing files.
- Attendance for ongoing updates/training internally/externally as deemed necessary by VP of Risk Management.
- Calculation/entering of compensation payments.
- Training and oversight of new and/or current employees as necessary.
- Coordination of MSA’s for all potential settlements.
- Identification, notification and collection of subrogation liens.
- Identification, notification and reimbursement requests to excess carriers.
- Handling of all phone calls regarding inquiries of bill payments/status.
- Setting and maintaining reserves based on probable outcome with detailed rationale.
- Other responsibilities as assigned.
MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)
- High School Diploma or equivalent; Associates Degree preferred.
- Generally three years of Worker Compensation knowledge.
- Proficient in MS Office including Excel, Access, and Word.
- Strong organizational and time management skills to prioritize multiple demands.
- Exceptional work ethic, energy, and drive.
- Demonstrates alignment with company's code of ethics.
About Us:
As part of one of the largest independently-owned employee management service providers in the United States, Minutemen HR Management Services has experience in the administration of personnel since 1968.
Minutemen HR Management Services has the resources and flexibility to provide your company with the products and services needed to cost-effectively manage your workforce.
With Minutemen HR Management Services your company can choose from a menu of services, which includes:
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Payroll processing and payroll tax administration
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Workers' compensation management
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Unemployment claims administration
Our staff of Human Resources professionals is dedicated to providing our clients with unmatched customer service at a competitive price. With Minutemen HR Management Services, your company will receive a single-source service program that is structured to your exact needs and specifications.
