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Pay Rate: $33.70 per hour
Job Type: Contract Opportunity
At OEM, we are dedicated to designing, manufacturing, and selling high quality vehicles that meet the diverse needs of our customers. We believe our employees and the different perspectives that they bring to the business are the driving force behind our success. Come discover a company that is focused on the quality of our vehicles, the environment, the community, and the world in which we live.
Position Description:
- 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
- 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.
- 1-3 years of Kentucky Workers' Compensation claims management experience
- College degree and 1-3 years of Kentucky claims management experience or equivalent combination of education and experience preferred.
- High school diploma and 1-3 years related Kentucky claims experience accepted
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About Advantage TechnicalWith company roots going back over 30 years, Advantage Technical is an engineering and information technology services company and a national leader in the provision of technical resources today. These services include Staff Augmentation, Direct Placement, Project Resourcing and Outsourcing - delivered from 40 key market locations, by over 3500 specialized contractors, to over 500 clients across North America. Advantage Technical is a Best of Staffing Diamond Award winner for both Clients and Talent. For more information about the industries and services offered by Advantage Technical, please visit .
Advantage Technical is committed to providing equal employment opportunity for all persons regardless of race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. If you require a reasonable accommodation, contact us. Advantage Technical is an E-Verify employer. This policy is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and other terms and conditions of employment.
All employees are directed to familiarize themselves with this policy and to act in accordance with it. All decisions with respect to employment matters and other phases of employer-temporary employee relationships will be in keeping with this policy and in accordance with all applicable laws and regulations.