Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking a dynamic, experienced Self-Insured Account Executive to join our Third-Party Administration team remotely.
Job Summary
The Self-Insured Account Executive will serve as the single point of contact for assigned Ohio self-insured clients. The role is responsible for all phases of self-insured workers’ compensation and requires a focus on risk management strategies and exceptional customer service.
Essential Functions
- 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 and monitor reserve adequacy for the life of a 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 the client self-insured program is compliant with all state rules and regulations including the 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
- Creating and sending all client reports monthly
- Assist with Section 111 CMS reporting
- Field inbound phone calls related to medical payments
- Other duties as needed
Requirements
- 5 + years of prior Ohio Self Insured Workers’ Compensation claims management experience
- Highly organized with an attention to detail
- Excellent oral and written communication skills
- Positive attitude and team player mentality
Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.
Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.
AAP/EEO Statement
Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.
Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.
About Charles Taylor
Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers’ compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.
