Workers Compensation Claims Administrator
UHS
Summary
The UHS Corporate Insurance Department is hiring a Workers' Compensation Claim Administrator who is responsible for reducing exposure and mitigating costs, interfacing and strategizing with claim adjusters, defense attorneys, facility Human Resource Directors/staff and Loss Control Managers. Works directly as a team member with other claims professionals, reporting to the WC Claims Manager.
Job description
Job Duties/Responsibilities
- Interface and strategize with claim adjusters, defense attorneys, facility Human Resource Directors/staff and Loss Control Managers.
- Works directly as a team member with other claims professionals, reporting to the WC Claims Manager; responsible for reducing exposure and mitigating costs.
- Manages all assigned claims to closure: Monitors nurse case management activity; monitors use of interfaces with defense attorneys and claim adjusters; evaluates settlement authority proposals.
- Collaborates on action plans as needed and evaluation of claim life exposure.
- Identify opportunities for quick and cost effective claim mitigation and resolution, coordinate the return to work of disability claims, evaluate claim settlement proposals, and analyze and provide recommendations.
- Oversee claim handling for multi-jurisdictions, ensuring quality assurance through monitoring for compliance with internal standards and conducting strategic reviews to identify trends, set mitigation goals and improve outcomes.
- Evaluate claim trending to determine focus and goals for mitigation.
- Responsible for managing financial impact of $4 million in losses. $60,000 Claim Settlement Authority.
- Assists WC Manager and Loss Control Director on special projects as needed.
Qualifications
- Bachelor's degree required with a minimum of 3-5 years of workers compensation experience required.
- Working knowledge of workers' compensation in various jurisdictions, especially midwestern states and Texas preferred.
- Understanding of case reserving methodology.
- Excellent judgment needed to evaluate claim adjuster's claim management activities in order to mitigate claim expenses.
- Strong analytical and organizational skills needed.
- Working knowledge of WC loss sensitive insurance programs; ability to understand accounting reserves and payments.
- Proficient with Microsoft Office products (EXCEL, WORD, OUTLOOK).
- Ability to communicate effectively is a must as position is primarily telephone contact.
- Ability to manage multiple priorities.
Requirements
- Bachelor's degree required
- Minimum of 3-5 years of workers compensation experience required
- Working knowledge of workers' compensation in various jurisdictions, especially midwestern states and Texas preferred
- Understanding of case reserving methodology
- Excellent judgment needed to evaluate claim adjuster's claim management activities in order to mitigate claim expenses
- Strong analytical and organizational skills needed
- Working knowledge of WC loss sensitive insurance programs; ability to understand accounting reserves and payments
- Proficient with Microsoft Office products (EXCEL, WORD, OUTLOOK)
- Ability to communicate effectively is a must as position is primarily telephone contact
- Ability to manage multiple priorities
Benefits
- Paid Time Off
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Prescription Drug Plans
- 401(k) with company match
- Discounted stock plan
- Tuition savings
- Pet Insurance
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.