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Aon

Global risk, retirement, health solutions provider

Workers Compensation Administrator

Claims AdjudicationPosted on Nov 12
Full-timePecos, TX, USA

About the Job

Requirements

  • At least 5 years of experience in the field or a related area.
  • Extensive knowledge of or experience with workers’ compensation and occupational rehabilitation procedures, practices, and processes.
  • Extensive knowledge of claim resolution techniques and strategies, legal principles related to claim resolution, and familiarity with all phases of the litigation process.
  • Working knowledge of or experience with bodily injury and first- and third-party property damage claims practices and processes.
  • Working knowledge of or experience with auto and other insured claims practices and procedures.
  • A bachelor’s degree or equivalent years of industry workers’ compensation experience.

Responsibilities

  • Communicate with injured workers, medical professionals, insurers, brokers, internal and external counsel, corporate management, and regulatory agencies.
  • Develop and maintain the project-specific workers’ compensation claims manual, medical panel, and processes and procedures for statutory and USL&H claims; implement improvements based on lessons learned, legislative changes, court decisions, or Bechtel operating imperatives.
  • Assist with subcontractor CCIP enrollment and provide workers’ compensation orientation to subcontractors.
  • Develop and provide onsite training related to workers’ compensation.
  • Under the guidance of the Workers’ Compensation Risk Manager, develop and prepare regular reports on project claims performance and monitor claims activity to identify negative trends or other issues that may affect project performance.
  • Oversee and process workers’ compensation claims, including initiating, preparing, and maintaining claims documentation.
  • Investigate and document eligibility for workers’ compensation benefits and communicate findings to the insurer and interested parties.
  • Assist with investigation and coordination of subrogation issues, and identify potential subrogation issues.
  • Interpret laws and regulations, determine appropriate courses of action, and present solutions to resolve claims.
  • Monitor claims resolution activities implemented by insurers and employers.
  • Maintain the Project Risk Management Information System (RMIS).
  • Direct and monitor Bechtel’s insurance provider’s activities and performance to ensure compliance with applicable regulations.
  • Implement, monitor, and ensure compliance with Special Account requirements.
  • Conduct regular claim reviews and audits and prepare related reports.
  • Interface with insurers to manage claims, including authorizing claim reserve changes, authorizing referrals to outside counsel, and assessing and approving settlement strategies.
  • Coordinate and support early return to work.
  • Manage relationships with the onsite clinic, panel and network physicians, and other medical providers to support effective claims management and return to work.
  • Work with injured workers and supervisors to develop and implement return-to-work plans.
  • Assist with management fitness-for-duty and ADA accommodation issues as needed.
  • Assist Bechtel Risk Management with litigation defense and complex case support, including responding to interrogatories and other discovery requests.
  • Assist with gathering information and filing auto and other insured claims, and administer those claims as needed.
  • Perform other tasks as required by Bechtel Risk Management.

Desired Qualifications

  • Bilingual proficiency in English and Spanish is a plus.

About the Company

Aon

Global risk, retirement, health solutions provider

Aon provides risk management, retirement, and health solutions to businesses, governments, and individuals by offering consulting, brokerage, and software. It uses data and analytics to tailor insights across risk assessment, benefits design, and workforce optimization. Its global, diversified service mix and data-driven approach allow it to deliver more integrated risk, retirement, and health solutions than firms focusing on a single area. Its goal is to shape decisions for the better and protect and enrich lives worldwide.

Company size
10,001+
Company stage
IPO
Headquarters
London, United Kingdom
Founded
1919

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