Workers Comp Claims Adjuster- Remote

Workers Comp Claims Adjuster Remote Position Salary: 65k-80k, commensurate with experience Illinois experience is required Job Summary The Workers Comp Claims Adjuster determines the extent and legitimacy of claims and issues benefits as jurisdictionally required. Responsibilities: • Responsible for prompt and pro-active management of medical only claims from time of receipt to conclusion of claim to ensure timely, fair, and cost-effective resolutions. This includes timely contacts with insureds, claimants, and medical providers; making compensability determinations; paying wage loss benefits; issuing jurisdictional appropriate forms and EDI transactions; evaluating injuries and treatment plans. • Properly reserves funds. Adjusts reserves timely and appropriately as the facts of the claim change. • Reviews and maintains claim system diaries. • Properly documents files to support decisions and actions taken pursuant to applicable Best Practices. • Follows company policies and procedures with respect to all essential duties and responsibilities of the job. • Follows client specific special handling instructions. • Effectively communicates in a professional manner both verbally and written. • Prepares claim summaries and attends claim reviews and client meetings as needed. • Other duties as assigned. Qualifications: • College degree preferred. • One year related claims experience is a plus. • Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software. • Illinois experience is required. Work Traits: · Ability to think critically, solve problems, plan, and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. · Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. · Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. Eligibility Requirements: · Interested candidates must submit a resume/online to be considered · Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation · Must be willing to execute Employee Agreement or Confidentiality/Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality, and non-disclosure We offer a competitive salary plus benefits. Apply Job!