Workers' Compensation Claims Administrator (King of Prussia)

Workers' Compensation Claim Administrator

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE : UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

The UHS Corporate Insurance Department is hiring a Workers' Compensation Claim Administrator who is responsible for reducing exposure and mitigating costs. Interfaces and strategizes with claim adjusters, defense attorneys, facility Human Resource Directors / staff and Loss Control Managers. Works directly as a team member with other claims professionals, reporting to the WC Claims Manager; Key include : Interface and strategize with claim adjusters, defense attorneys, facility Human Resource Directors / staff and Loss Control Managers. Works directly as a team member with other claims professionals, reporting to the WC Claims Manager; responsible for reducing exposure and mitigating costs. Manages all assigned claims to closure : Monitors nurse case management activity; monitors use of interfaces with defense attorneys and claim adjusters; evaluates settlement authority proposals. Collaborates on action plans as needed and evaluation of claim life exposure. Identify opportunities for quick and cost effective claim mitigation and resolution, coordinate the return to work of disability claims, evaluate claim settlement proposals and analyze and provide recommendations. Oversee claim handling for multi-jurisdictions, ensuring quality assurance through monitoring for compliance with internal standards and conducting strategic reviews to identify trends, set mitigation goals and improve outcomes. Evaluate claim trending to determine focus and goals for mitigation. Responsible for managing financial impact of $4 million in losses. $60,000 Claim Settlement Authority. Assists WC Manager and Loss Control Director on special projects as needed.

Qualifications : Bachelors degree required with a minimum of 3-5 years of workers compensation experience required. Working knowledge of workers' compensation in various jurisdictions, especially midwestern states and Texas preferred. Understanding of case reserving methodology. Excellent judgment needed to evaluate claim adjuster's claim management activities in order to mitigate claim expenses. Excellent analytical and organizational skills needed. Working knowledge of WC loss sensitive insurance programs; ability to understand accounting reserves and payments. Proficient with Microsoft Office products (EXCEL, WORD, OUTLOOK). Ability to communicate effectively is a must as position is primarily telephone contact. Ability to manage multiple priorities. (If located in Philadelphia area, this role has a hybrid schedule with 3 days in office and 2 days flex-remote. Will consider candidates in other areas to work remotely.) This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.

EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.