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Universal Health Services

Manages hospitals and behavioral health facilities

Workers Compensation Claim Administrator

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeNo salary listed

About the Job

Requirements

  • A bachelor's degree is required.
  • A minimum of 3–5 years of workers' compensation experience is required.
  • Working knowledge of workers' compensation in various jurisdictions, especially Illinois, Ohio, Michigan, Minnesota, and Texas, is preferred.
  • Understanding of case reserving methodology is required.
  • Excellent judgment is needed to evaluate claim adjusters' claim management activities to mitigate claim expenses.
  • Strong analytical and organizational skills are needed.
  • Working knowledge of workers' compensation loss-sensitive insurance programs and the ability to understand accounting reserves and payments are required.
  • Proficiency with Microsoft Office products, including Excel, Word, and Outlook, is required.
  • The ability to communicate effectively is required because the position is primarily telephone contact.
  • The ability to manage multiple priorities is required.

Responsibilities

  • Interface and strategize with claim adjusters, defense attorneys, facility Human Resources directors and staff, and Loss Control Managers.
  • Work as a team member with other claims professionals, reporting to the Workers' Compensation Claims Manager, to reduce exposure and mitigate costs.
  • Manage assigned claims through closure, monitor nurse case management activity and interactions with defense attorneys and claim adjusters, and evaluate settlement authority proposals.
  • Collaborate on action plans as needed and evaluate claim life exposure.
  • Identify opportunities for prompt, cost-effective claim mitigation and resolution; coordinate return to work for disability claims; evaluate claim settlement proposals; and analyze claims and provide recommendations.
  • Oversee claim handling across multiple jurisdictions, monitor compliance with internal standards for quality assurance, and conduct strategic reviews to identify trends, set mitigation goals, and improve outcomes.
  • Evaluate claim trends to determine mitigation focus and goals.
  • Manage the financial impact of $4 million in losses.
  • Exercise $60,000 in claim settlement authority.
  • Assist the Workers' Compensation Manager and Loss Control Director with special projects as needed.

Desired Qualifications

  • Working knowledge of workers' compensation in various jurisdictions, especially Illinois, Ohio, Michigan, Minnesota, and Texas.

About the Company

Universal Health Services

Manages hospitals and behavioral health facilities

Universal Health Services operates a network of acute care hospitals, behavioral health facilities, and ambulatory centers across the United States. It generates its services by acquiring and managing healthcare facilities, then integrating them under centralized operating practices to deliver patient care. The company’s offering is the management and provision of hospital and behavioral health services, with a focus on standardized clinical operations, economies of scale, and nationwide coverage. What sets UHS apart is its long history of growth through acquisitions, its size and scale in both acute and behavioral health markets, and its ability to integrate new facilities while maintaining consistent care quality. Its goal is to provide high-quality healthcare across a broad network, improve patient outcomes, and sustain long-term value for shareholders by expanding access and efficiency in hospital and behavioral health services.

Company size
10,001+
Company stage
IPO
Headquarters
Upper Merion Township, Pennsylvania
Founded
1978

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