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.

Remote

Skills:
Analysis Skills, Background Investigation, Best Practices, Business Solutions, Claims Management, Claims Processing, Communication Skills, Computer Skills, Documentation, Electronic Data Interchange (EDI), Healthcare Providers, Industry Standards, Negotiation Skills, Non-Disclosures, Problem Solving Skills, Support Documentation, Systems Maintenance, Time Management, Treatment Evaluation, Treatment Plan, Worker's Compensation, Writing Skills

About the Company:
Absolute Staffing & Consulting Solutions

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