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Self Insured Claims

Self-Insured Account Executive

Purpose:
Serve as the single point of contact for assigned Self Insured clients. Responsible for all phases of self-insured workers’ compensation. The Self-Insured Account Executive position requires focus on risk management strategies and exceptional customer service.

Responsibilities: 
• Assist and advise clients on all aspects of self-insured workers’ compensation programs and provide aggressive claims management.
• Develop action plans that utilize best practice strategies to improve return to work and cost controls.
• Coordinate referrals to partner entities for investigations, field case management, and other cost containment services.
• Calculate and assign appropriate reserves to claims; monitor reserve adequacy for life of claim.
• Communication with injured workers, employers, attorneys, and related medical providers.
• Review all medical treatment requests (C9s), fee bills, and medical records for appropriateness and process fee bill payments, reductions and denials.
• Ensure client self-insured program is compliant with all state rules and regulations including filing of all required State forms, reports and data. Assist with and ensure SI-40 reporting (Ohio).
• Review of medical records and medical bills for processing

Job Requirements: 
• Positive attitude and team player mentality
• Excellent oral and written communication skills
• 2 + years of prior Workers’ Compensation claims management experience

What's in it for you?
Make a difference
Enjoy coming to work every day
Best Places to Work culture
Monthly massages and activities Competitive salary and benefits Generous holiday schedule

Core Values:
Act like you own it
Be passionate
Do what you say, say what you do
Do the right thing…always
Play well with others
Pay it forward