Workers' Compensation Claims Specialist III - Midwest

Duties:

  • Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
  • Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims.
  • Mediates situations as they arise between the insured and the insurance company, to include researching coverage issues.
  • Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
  • Generates checks for indemnity and medical payments daily.
  • Compiles and interprets Workers’ compensation reports on designated accounts, as requested.
  • Participates in claim reviews when requested by agency partners or insured’s. These could be in person or by phone.
  • Ability to adjudicate lost time claims in IL and IN jurisdictions claims.
  • Develops and monitors consistency in procedural matters of claims handling process within CRS.
  • Willingness to become licensed if required in jurisdiction where claims are handled, preferably Illinois and Indiana.
  • Knowledge, Skills, and Abilities:
  • Knowledge of Workers’ Compensation insurance coverage and the ability to apply that knowledge in the performance of the job duties.
  • Skillful knowledge of claims processing procedures.
  • Ability to work with persons under adverse or highly emotional conditions.
  • Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
  • Ability to work daily and extended hours, as necessary.
  • Ability to maintain confidentiality.
  • Ability to act in a professional and courteous manner.
  • Ability to learn various software programs.

Qualifications:

  • A high school diploma or GED equivalent required, college degree preferred
  • Minimum of five years’ experience workers’ compensation claims, including litigated claims. Prior agency or carrier experience preferred.

If you’re ready for a new and exciting opportunity to work for an amazing company and you think you have what it takes to be a Workers’ Compensation Claims Specialist for Creative Risk Solutions, apply today!


EOE

Pre-offer background check required.


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