Risk Management Coordinator

hace 2 semanas

Caimito Barrio, Puerto Rico Ko Business Solutions Llc A tiempo completo

Job Title: Data Entry Specialist - Risk Management



About the Job:



Ko Business Solutions LLC is a family-owned consulting and staffing agency in the Chicagoland area that supports the hiring needs of companies across the country. We are seeking a highly skilled Data Entry Specialist - Risk Management to join our team.



Job Summary:



The Data Entry Specialist - Risk Management will be responsible for the day-to-day management of our partner's workers' compensation claims. This includes actively managing claims activities, ensuring efficient processing and resolution. The successful candidate will maintain regular communication with carriers, third-party administrators (TPAs), medical providers, and other branches to facilitate timely claim adjudication and compliance.



Key Responsibilities:





  • Monitor and track claims activity, working closely with carriers and TPAs to ensure efficient processing and appropriate adjudication of workers' compensation claims.

  • Collaborate with medical providers to obtain and follow up on work status reports, ensuring up-to-date information on employees' medical conditions and work capabilities.

  • Schedule and coordinate periodic claims reviews with carriers, brokers, and legal teams, and prepare supporting documentation for these meetings.

  • Maintain accurate records of claims, communications, and other related documents; prepare and distribute comprehensive reports summarizing claims data, trends, and potential issues.

  • Analyze, investigate, and assess losses to determine coverage and claim resolution, providing necessary information to management and underwriting teams.

  • Ensure compliance with corporate policies, procedures, statutory regulations, and ethical guidelines when managing claims.

  • Provide general administrative support related to workers' compensation claims, including data entry, filing, and handling correspondence.

  • Assist with other administrative tasks as assigned and support the team in managing additional responsibilities as they arise.



Requirements:





  • High School Diploma or GED, required.

  • Associate's degree in business administration, or related fields, preferred.

  • 1-2 years of experience in data-entry, preferred.

  • Bi-Lingual in English and Spanish is highly preferred.

  • Excellent verbal and written communication skills.

  • Excellent interpersonal and customer service skills.

  • Excellent organizational skills and attention to detail.

  • Ability to function well in a high-paced and at times stressful environment.

  • Proficient with Microsoft Office Suite or related software.



Benefits:



Ko Business Solutions LLC offers a competitive salary and benefits package, including medical, dental, and vision insurance, paid time off, and vacation pay.



Work Environment:



The work environment is an office setting where work is performed sitting at a desk. The noise level in the work environment is usually quiet, but can become louder based on the volume of incoming candidates. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.



Physical Demands:



The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.



Equal Opportunity Employer:



Ko Business Solutions LLC is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.



Job Type: 3-month contract with opportunity for conversion



Rate of Pay: $20/hr



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