Sr. Claims Adjuster - Workers Compensation

Posted 2 days ago

insight globalRolling Meadows (IL)

Claims Adjusters, Examiners, and Investigators Claims Adjusting

SENIORITY

Senior

SALARY

$43.71/hr

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About the role

Role: Senior Claims Adjuster - Workers' Compensation

Location: Remote

Duration: 3-month contract-to-potential hire

Pending Caseload: Approximately 150-180 workers' compensation claims

Pay: $43.71/hrJob Description

The Senior Resolution Manager is responsible for handling complex workers' compensation claims through investigation, evaluation, litigation management, and resolution. This individual will manage a high-volume caseload while partnering with employers, injured workers, attorneys, medical providers, and insurance partners. The ideal candidate will have strong workers' compensation experience, excellent claim judgment, and the ability to independently manage complex and litigated claims across multiple clients.

Required Qualifications:

5-7+ years of workers' compensation claims experience
Experience managing indemnity and lost-time claims
Ability to independently manage a high-volume caseload
Experience handling claims across multiple clients
Strong understanding of compensability and state workers' compensation regulations
Excellent investigation and claim resolution skills
Comfortable working in a TPA environment
Ability to learn and utilize claims management systems
Midwest/California Requirement (Must Have)
Experience and/or active licensing in several of the following states:

Illinois WisconsinMichiganMinnesotaIowaSouth Dakota CaliforniaPreferred Qualifications Litigation management experienceTPA experience (Gallagher Bassett, Sedgwick, Broadspire, CorVel, ESIS, CCMSI, Charles Taylor, PMA, Cannon Cochran, Helmsman, etc.)Captive insurance program experience Multi-state workers' compensation claims handling experience Self-insured account experience

Responsibilities:

Manage a portfolio of workers' compensation claims from assignment through closure
Investigate claims and determine compensability
Review medical records, wage information, and treatment plans
Coordinate return-to-work efforts
Establish claim reserves and manage claim strategy
Partner with attorneys on litigated files
Negotiate settlements and claim resolutions
Maintain diary compliance and claim documentation
Communicate regularly with employers, claimants, and insurance partners
Effectively manage claims across multiple clients while meeting service standards

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