Claims Adjuster

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

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

Namratha Gandavarapu
Sr. Recruiter
Direct: 317-210-8733