Workers Compensation Claims Adjuster

Illinois  ‐ Vor Ort
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Schlagworte

Beschreibung

Within company standards and best practices, manage complex and problematic high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim.

ESSENTIAL JOB DUTIES:
  • Receive claim and acknowledgement of the claim
  • Determine validity and compensability of the claim by investigating and gathering information regarding the claim
  • Establish reserves and authorize payments within reserving authority limits
  • Develop and manage well documented action plan with the case manager and outcomes manager to reduce overall cost of the claim
  • Coordinating early return-to-work efforts with the case manager and employer
  • Manages subrogation of the claim
  • Negotiates settlements when necessary
  • Actively manage the litigation process
  • Manage potential claim recoveries of all types
  • Communicate claim status with the customer and claimant
  • Adhere to client and carrier guidelines and participate in claims review as needed
  • Develop and maintains professional customer relationship
  • Requires regular and consistent attendance
SKILLS:

KNOWLEDGE & SKILLS:
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office (Word, Excel)
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Knowledge of claims administration, case management and cost containment solution as applicable to Workers' Compensation
EXPERIENCE:
  • Two (2) years of Workers' Compensation claims management experience required.
Additional Skills:
  • 2 Years of Workers Compensation Adjusting
  • MUST LIVE IN THE City OF CHICAGO
Start
keine Angabe
Von
Synectics
Eingestellt
25.01.2015
Projekt-ID:
840291
Vertragsart
Freiberuflich
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