Recovery Specialist - Workers' Compensation

CopperPoint Insurance Company; Illinois; On-site; USD 61,000 - 91,000; Full time

Job summary

Ein etabliertes Unternehmen bietet eine spannende Gelegenheit für einen Recovery Specialist im Bereich der Arbeitsunfallversicherung. In dieser Rolle sind Sie verantwortlich für die Rückgewinnung von Kosten und die Etablierung von Krediten für zukünftige Leistungen. Sie arbeiten eng mit internen und externen Parteien zusammen, um die notwendigen Dokumentationen zu sichern und die rechtlichen Aspekte der Ansprüche zu überwachen. Dies ist eine großartige Gelegenheit, Ihre Verhandlungsfähigkeiten und Ihr Wissen im Bereich Arbeitsrecht einzusetzen und dabei einen positiven Einfluss auf die Versicherungsansprüche zu haben.

Benefits

Medizinische Versicherung

Zahnversicherung

Sehversicherung

401(k) Plan

PTO (20 Tage)

10 bezahlte Feiertage

Tuition Reimbursement

Freiwilligenzeit (12 Stunden jährlich)

Qualifications

• 2-6 Jahre Erfahrung in der Versicherungsbranche, insbesondere in der Schadensregulierung.
• Kenntnisse im Bereich der Verhandlung und des Arbeitsrechts sind erforderlich.

Responsibilities

• Überprüfung von Fällen zur Identifizierung potenzieller dritter Parteien.
• Verwaltung eines Portfolios von 200-300 Ansprüchen und Teilnahme an Verhandlungen.

Skills

Verhandlungsgeschick

Kenntnisse im Bereich Arbeitsrecht

Kenntnisse in der Schadenregulierung

Urteilsvermögen

Education

High School Diploma oder gleichwertiger Abschluss

Job description

CopperPoint has an exciting opportunity for a Recovery Specialist - Workers' Compensation. The Recovery Specialist is responsible for recovering the cost of benefits paid or establishing a credit on future potential benefits on workers' compensation claims in cases where the accident was caused by a negligent third party.

Job Responsibilities :

• Reviews cases designated as “potential new subrogation” and determines if they are viable third-party cases and provides daily updates of lien amounts and provider payments. Identifies third party (ies) involved along with liability insurances associated with said parties. 25%
• Manages a caseload of up to 200 – 300 claims; participates in negotiations involving third-party recoveries; protects the company and policyholder recovery rights at settlement conferences and mediations; and authorizes final settlement of the subrogation or third-party aspect of workers' compensation claims. Coordinates and oversees the outsourcing of litigation to panel counsel on complex recovery cases. 40%
• Responsible for communicating with internal and external parties regarding the third party case; provides and secures the necessary documentation to support successful outcomes, including but not limited to, such documents as police reports, public agency reports, and contact letters; issues appropriate notices. 25%
• Monitors and manages the timely receipt of checks in payment of the company’s liens; refers settlement authorizations over authority limit to attorney adviser; ensures payment process is completed and all documentation is appropriately annotated in accordance with company process. 10%

Qualifications / Competencies :

• 2-6 years of work experience in the insurance industry in such positions as claims adjuster or subrogation representative is required for this position. A high school diploma or equivalency degree is required for this position.
• Intermediate to senior level knowledge in the area of workers' compensation law and tort law; basic understanding of rules and regulations pertaining to workers’ compensation and tort claim litigation.
• Basic understanding of rehabilitation and vocational services and how they relate to the negotiation and settlement process.
• Intermediate to senior-level knowledge of negotiation guidelines for third-party settlements.
• Demonstrated experience exercising sound judgment successfully in negotiation situations.
• Basic knowledge of medical and legal terminology.

Salary Range :

• 61,000.00 - $91,000.00 annually
• Compensation may vary depending on skills, experience, education, and geographical location.
• In addition to base salary, compensation may include an annual discretionary bonus.

Benefits :

• Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan.
• We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistance Plan).
• Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year.

Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions. With an expanded Line of insurance products and a growing ten-state footprint in the western United States, CopperPoint embodies stability for policyholders in Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington. CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, California-based Pacific Compensation Insurance Company, Alaska National Insurance Company, and other CopperPoint Insurance Entities.

CopperPoint’s culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships, and in-kind contributions. We empower employees by providing 12 hours of paid volunteer time annually and matching their personal contributions to the charities of their choice up to $500 per year. In 2020, CopperPoint employees reported 3,500 volunteer hours.

CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision, and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits and business casual dress. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace.