Job Description
The Workers' Compensation Resolution Administrator manages all aspects of a workers' compensation file for multiple jurisdictions, including claims ranging from soft tissue to catastrophic injuries such as paralysis, amputations, and fatalities. This position leverages a network of professional resources including doctors, nurses, attorneys, and regulators to facilitate ArcBest's mission of restoring the lives of their injured employees. This position will have a reserve and settlement authority of $50,000.00 as determined after training and approval by upper management. The Workers' Compensation Resolution Administrator must be able to adequately assert this reserve and settlement authority according to ArcBest's Best Practices.
The Workers' Compensation Resolution Administrator manages all aspects of a workers' compensation file for multiple jurisdictions, including claims ranging from soft tissue to catastrophic injuries such as paralysis, amputations, and fatalities. This position leverages a network of professional resources including doctors, nurses, attorneys, and regulators to facilitate ArcBest's mission of restoring the lives of their injured employees. This position will have a reserve and settlement authority of $50,000.00 as determined after training and approval by upper management. The Workers' Compensation Resolution Administrator must be able to adequately assert this reserve and settlement authority according to ArcBest's Best Practices.
Responsibilities
- Review and interpret medical reports.
- Act as a liaison between the injured worker, legal counsel, and medical providers.
- Identify and pursue cases with subrogation potential.
- Coordinate medical treatment for injured workers.
- Prepare and issue mandated requirement for documents.
- Provide financial information regarding claims cost and employee status to different Company departments.
- Establish claims reserves and adjust reserve throughout the claim for anticipated exposure.
- Communicate the workers' compensation benefits, process, and requirements to injured workers.
- Provide accurate mathematical calculations for claims financial exposure.
- Adjust claims according to state specific statues and regulations.
- Review, examine, analyze, and investigate workers' compensation claims for compensability.
- Other duties and projects, as assigned.
- Answer after-hours calls.
- Direct investigations of serious accidents and injuries, as needed.
- Maintain appropriate licenses and certifications.
- Demonstrate professional diplomacy during all interactions with injured workers, outside vendors, and team members.
- Advise defense counsel and independent adjusters.
- Manage litigation and negotiate settlements on a claim file.
- Approve changes related to workers' compensation claim file.
- Process indemnity payments.
- Attend hearings, trials, and claim reviews.
Requirements
Education:
- Bachelor's Degree, preferred
- Experience will be considered in lieu of formal education
- 3 years casualty and/or workers' compensation claims, preferred
- Proficient in Microsoft Office Suite, preferred
- Claims Advocacy
- Communication
- Decision Making and Critical Thinking
- Information Capture
- Knowledge of Claims
- Managing Multiple Priorities
- Negotiation and Settlement
- Workers' Compensation Claim Investigation
Other Details
Work Hours:
- Generally, 8:00 am - 5:00 pm Monday through Friday with occasional irregular hours depending on workload.
- This is a salary position paid biweekly.
About Us
ArcBest® is a multibillion-dollar integrated logistics company that helps keep the global supply chain moving. We offer ground, air, and ocean transportation through various capacity providers, including our LTL carrier ABF Freight®, our truckload service MoLo®, and our expedite fleet, Panther Premium Logistics®. Through our managed solutions, we partner with customers to create logistics strategies that increase operational efficiencies, reduce costs and give better insights into their supply chains. We also offer moving services through U-Pack®. Our technology and innovations team, ArcBest Technologies, provides custom-built solutions, leading-edge technology, and advanced analytics that help support our customers and optimize supply chains. Want to join the ArcBest team? We're looking for top talent who supports our values-driven culture and is driven to deliver an excellent customer experience.
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