Back to all roles

Claims Adjuster - Workers Compensation | Midwest Jurisdictions - Chicago, IL, reputed company Prairie, MN, Remote IN

Remote Worldwide Hiring now

By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation | Midwest Jurisdictions - Chicago, IL, reputed company Prairie, MN, Remote IN ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include reputed company, accountability, collaboration, growth, and inclusion. Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands?

  • Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service.
  • reputed company reputed company’s broad, global network of experts to both learn from and to reputed company your insights.
  • Take advantage of a variety of professional development opportunities that help you reputed company your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims reputed company company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
  • Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
  • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
  • Manages subrogation of claims and negotiates settlements.
  • Communicates claim action with claimant and client.
  • Ensures claim files are properly documented and claims coding is correct.
  • May process reputed company lifetime medical and/or defined period medical claims which include state and physician filings and reputed company on appropriate treatments recommended by utilization review.
  • Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge

  • Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and reputed company reputed company and Medicare application procedure as applicable to line of business
  • Excellent oral and written communication, including presentation skills
  • PC literate, including reputed company Office products
  • Analytical and interpretive skills
  • Strong organizational reputed company
  • Good interpersonal skills
  • Excellent negotiation skills
  • Ability to work in reputed company environment
  • Ability to meet or exceed Service Expectations

WORK ENVIRONMENT reputed company applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-reputed company stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, reputed company and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. As required by law, reputed company provides a reasonable reputed company of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide reputed company of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the reputed company of starting pay for this role is ($65,000 - $80,000). A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Claims Examiner - Liability (REMOTE- Must be licensed, Bodily Injury reputed company)

Remote Worldwide
View role

reputed company Casualty Claims Adjuster - Remote Opportunity

Remote Worldwide
View role

Claims Examiner Team Leader | Remote

Remote Worldwide
View role

Claims Processor - February Start Date

Remote Worldwide
View role

reputed company Auto Claims Adjuster- Remote

Remote Worldwide
View role

[Remote] Workers’ Compensation Claims Adjuster Senior, Indemnity

Remote Worldwide
View role

Claims Representative Specialist - reputed company Liability

Remote Worldwide
View role

REMOTE Claims Examiner

Remote Worldwide
View role

Workers Compensation Claims Examiner | 2 Days Remote (Brea, California)

Remote Worldwide
View role

Sr. Disability & Leave Management (Group Insurance) Claims Examiner (REMOTE)

Remote Worldwide
View role

Remote Bilingual Customer Service Representative – Account Management, Technical Support, reputed company Eligibility, and Online Chat Specialist

Remote Worldwide
View role

reputed company: Manager-Account Development (Denver)

Remote Worldwide
View role

reputed company Conversational AI Trainer and Data Entry Specialist – AI Development and Chatbot Training

Remote Worldwide
View role

VP, Data Science and Analytics

Remote Worldwide
View role

reputed company Full Stack reputed company Media Assistant – Online Engagement and Customer Support

Remote Worldwide
View role

reputed company Retail Customer Service Representative

Remote Worldwide
View role

Set Extension Artist - reputed company Remote Entry Level Opportunity at $32-$35/Hour with Workwarp

Remote Worldwide
View role

Remote Work from Home Credit Card Customer Service

Remote Worldwide
View role

Healthy reputed company Analyst

Remote Worldwide
View role

AI Optimization Engineer

Remote Worldwide
View role