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State Fund Workers’ Compensation Claims Representative- Cincinnati, Dublin

State Fund Workers’ Compensation Claims Representative- Cincinnati, Dublin
The Matrix Companies is currently seeking a State Fund Account Executive (Experienced Claims Representative) in our Cincinnati or Dublin, OH office to serve as the single point of contact for an assigned client base.  We have been named one of Best Places to Work by the Cincinnati Business Courier for 8 consecutive years. Come work for one of the fastest growing and most respected third-party administrators!

Basic Function

Responsible for all phases of client workers’ compensation programs including aggressive claims management, general administration, and client relations. The Account Executive position requires special focus on client risk management strategies and exceptional customer service.

Responsibilities

Utilize experience to serve large, more complex Clients.

Aggressively manage all Active claims.

Aggressively implement strategies for return-to-work on all Lost-time claims.

Aggressively manage appropriateness of medical treatment & costs on all claims.

Pursue risk strategies to control and/or lower claims costs that impact a client’s experience modification e.g. handicap reimbursements, lump sum settlement, fraud recognition, etc.

Provide consultative assistance to clients regarding rating plans e.g. Group rating, Self-insurance, Retrospective rating, etc.

Assist and advise client on BWC employer discount programs, payroll classification and reporting information.

Meet regularly with client to perform a complete claims review, review employer modification, and develop risk strategies to control or reduce future premiums.

Create and provide claims management reports to client e.g. claims costs, employer rate projection, claims loss runs, etc.

Provide timely updates to employer on workers’ compensation laws and rules.

Perform other related duties as assigned.

Experience

Prefer 3 plus years of workers’ compensation claims management or related experience. State fund claims management experience required.

TPA and/or MCO exposure desired.

 

Skills

Strong Written and Oral Communication Skills

Client Service/Client Relations

Claims Management

Organized and Detail Oriented

Workers Compensation Knowledge

Employer Risk Knowledge

 

Top 10 Reasons to Work at Matrix:

  1. We don’t wear ties
  2. Frequent happy hours and team outings
  3. Massage Mondays once a month
  4. Late & Skate perk on your birthday (arrive late and leave early)
  5. Generous paid time off & holiday schedule
  6. Give back to the community through volunteerism on company time
  7. Opportunities for advancement
  8. Fun in the office with our Activity of the Month
  9. Casual weeks
  10. Work-life balance

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