Workers' Compensation Claim Advocate

Overview

Workers’ Compensation Claim Advocate (Adjuster)

Location: Lisle, IL (Hybrid – In office 2x/month after training)

Schedule: Monday–Friday, 8:00 AM to 4:30 PM CST

Salary Range: $55,000 – $65,000

Client Support

Client: Dedicated Client Account (Illinois Public Risk Fund)

Responsibilities

• Investigate, evaluate and adjust workers’ compensation claims in accordance with established claim handling standards and laws.
• Establish reserves and/or provide reserve recommendations within established reserve authority levels.
• Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated workers’ compensation claims.
• Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of workers’ compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Absorb and maintain personal diary on claim system.
• Assess and monitor subrogation claims for resolution.
• Compute disability rates in accordance with state laws.
• Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the workers’ compensation claim adjustment process.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Qualifications

• Excellent oral and written communication skills.
• Initiative to set and achieve performance goals.
• Good analytic and negotiation skills.
• Knowledge of all lower level claim position responsibilities.
• Must be detail oriented and a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize required.
• Flexibility, accuracy, initiative and the ability to work with minimum supervision.
• Discretion and confidentiality required.
• Reliable, predictable attendance within client service hours for the performance of this position.
• Responsive to internal and external client needs.
• Ability to clearly communicate verbally and/or in writing both internally and externally.

Education And/or Experience

5+ years workers’ compensation claim experience is required.

Computer Skills: Proficient with Microsoft Office programs.

IL or TX Adjuster’s license is preferred.

AIC, ARM or CPCU Designation preferred.

CORE VALUES & PRINCIPLES

Performing with integrity; passionately focus on client service; embrace a client-centered vision; maintain contagious enthusiasm for our clients; search for the best ideas; look upon change as an opportunity; insist upon excellence; create an atmosphere of excitement, informality and trust; focus on the situation, issue, or behavior, not the person; maintain the self-confidence and self-esteem of others; maintain constructive relationships; take the initiative to make things better; and lead by example.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.

Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.

Work Environment

We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

Core Values & Principles

Performing with integrity; passionately focus on client service; embrace a client-centered vision; maintain contagious enthusiasm for our clients; search for the best ideas; look upon change as an opportunity; insist upon excellence; create an atmosphere of excitement, informality and trust; focus on the situation, issue, or behavior, not the person; maintain the self-confidence and self-esteem of others; maintain constructive relationships; take the initiative to make things better; and lead by example.

Equal Opportunity Employer

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations.