Claims Adjuster

About the role

• Position: Claims Adjuster
• Location: Chicago IL 60601
• Duration: 3+months
• Rate: $35/Hr on W2

Manage within company standards and best practices 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

Experience/Qualifications required

• 2 years’ Work Comp claims management experience required
• 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

Additional information

Knowledge of claims administration, case management and cost containment solution as applicable to Workers' Compensation

Additional Information: Namratha Gandavarapu

Sr. Recruiter