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Workers' Compensation Claims Adjuster - REMOTE

  • Job
    Full-time
    Senior Level
  • Legal
    Healthcare
  • Louisville
    Remote

AI generated summary

  • You need 5 years of Illinois Workers' Compensation experience, proficiency in Microsoft Office, bilingualism (English/Spanish preferred), strong communication, detail orientation, and customer service skills.
  • You will investigate claims, review medical reports, negotiate settlements, manage client communication, and occasionally liaise with defense counsel while providing consultative support to assigned clients.

Requirements

  • Bilingual in English/Spanish a plus
  • 5 years of experience adjusting Workers Compensation Claims in Illinois required
  • Proficiency in entire Microsoft Office suite
  • Knowledge of relevant workers compensation laws
  • Strong grasp of medical terminology
  • Familiarity with medical cases and how treatment typically progresses
  • Excellent oral and written communication abilities
  • Attention to detail and good organization skills
  • Ability to negotiate issues and settlements
  • Strong focus on customer service which includes timely response to requests/inquiries
  • Ability to adapt to changing technologies and learn functionality of new equipment and systems
  • Ability to establish and maintain effective working relationships with others

Responsibilities

  • Investigate new claims and initiate timely contacts with clients, claimants, medical providers and legal counsel to determine appropriate actions to be taken
  • Review medical reports and determine eligibility for benefits / payments
  • Calculate settlement and award values, documenting claims with benefits due
  • Negotiate settlements with claimants and attorneys, and draw up contracts
  • Respond to excess carrier requests regarding claim status and follow through on recommended actions
  • Meet with clients and account management to conduct claim reviews. This involves discussions to present cost reports, reserves, active claims and settlement recommendations; there is minimal travel to account locations
  • Refer claims occasionally to defense counsel, remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses
  • Serve assigned clients as an experienced claims consultant
  • Attend meetings as assigned by your supervisor

FAQs

Is this position fully remote?

Yes, this position is fully remote.

Where should applicants reside to be considered for this position?

Residents of Louisville, KY are encouraged to apply, especially those with workers' compensation experience in Illinois.

What are the main responsibilities of the Workers' Compensation Claims Adjuster?

The main responsibilities include investigating new claims, reviewing medical reports, calculating settlement values, negotiating settlements, responding to carrier requests, and conducting claim reviews with clients.

What qualifications are required for this position?

A minimum of 5 years of experience adjusting Workers Compensation Claims in Illinois is required, along with proficiency in Microsoft Office, knowledge of workers' compensation laws, and strong communication skills.

Is bilingualism considered an asset for this role?

Yes, being bilingual in English and Spanish is considered a plus.

What is the company's stance on diversity and inclusion?

Charles Taylor prides itself on being an Inclusive Employer with zero tolerance for discrimination of any kind, promoting a diverse and respectful environment.

Are there opportunities for professional development?

Yes, Charles Taylor offers a supportive and collaborative work environment that encourages personal growth and professional development.

What type of benefits does Charles Taylor offer?

Charles Taylor offers a competitive salary, medical, dental, vision, life insurance, and a 401(K) plan with a match.

Will travel be required for this position?

Minimal travel may be required for client meetings and account reviews.

What values does Charles Taylor prioritize?

Charles Taylor emphasizes Agility, Integrity, Care, Accountability, and Collaboration in its work culture.

Claims Solutions. InsureTech. Insurance Management.

Consulting
Industry
1001-5000
Employees
1884
Founded Year

Mission & Purpose

Charles Taylor provides an unrivalled and growing range of insurance services, claims and technology solutions across the globe, with a specialism in complex situations requiring distinctive technical expertise and technology. We aim to build long-term client relationships spanning multiple value-creating solutions, and to consistently delight our clients with the quality and responsiveness of our people and delivery. We have 3,000+ experts based around the globe in more than 120 locations spread across 30 countries in the UK & Europe, the Americas, Asia Pacific, the Middle East and Africa.