Sr. Claims Adjuster - Workers Compensation Job at Insight Global, Rolling Meadows, IL

  • Insight Global
  • Rolling Meadows, IL

Job Description

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/hr

Job 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
  • Wisconsin
  • Michigan
  • Minnesota
  • Iowa
  • South Dakota
  • California

Preferred Qualifications

  • Litigation management experience
  • TPA 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

Job Tags

Contract work, Remote work

Similar Jobs

Watercrest Senior Living Group

Concierge - PRN Job at Watercrest Senior Living Group

 ...DIFFERENCE IS OUR PEOPLE. Our associates answer a calling to serve seniors and their families every day. We believe in continually...  ...manner Must possess a passion to work with and around senior citizens Knowledge of administrative and clerical procedures Knowledge... 

Watercrest Senior Living Group

AL Resident Caregiver - Part Time Job at Watercrest Senior Living Group

 ...decisions Must be able to communicate in a warm, friendly and caring manner Must possess a passion to work with and around senior citizens Knowledge of customer service principles and practices Education Requirements: High School Diploma or equivalent... 

Altron Inc

Test Engineer II Job at Altron Inc

 ...Job Description Job Description Description: We are seeking a Test Engineer to join our team in Middletown, RI. The team is responsible for the test, evaluation, and design verification of the system under development. Additionally, the team ensures functional and... 

Safelite

Auto Glass Installation Technician Trainee Job at Safelite

 ...happiness to customers by completing jobs timely and with the highest quality standards. What you will do Be paid to learn and apprentice the Safelite way, through hands-on and classroom training, including: Observing and assisting in installing and repairing... 

Loma Linda University Faculty Medical Group

Pediatric Neurologist Job at Loma Linda University Faculty Medical Group

 ...Loma Linda University Faculty Medical Group, Division of Pediatric Neurology, is seeking a full-time Board Eligible/Board Certified Pediatric Neurologist at the rank of Assistant or Associate Professor to join their team. The pediatric neurology division is currently...