Workers' Claims Adjuster - REMOTE

Job Summary

The Workers' Compensation Claims Adjuster is responsible for the investigation, administration, and settlement of workers’ compensation claims. This position requires maintaining timely correspondence and determining the best course of action with a high level of autonomy while working closely with clients, claimants, and attorneys.

• Investigate new claims and initiate timely contacts with clients, claimants, medical providers, and legal counsel to determine appropriate actions.
• 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, presenting cost reports, reserves, active claims, and settlement recommendations.
• Refer claims occasionally to defense counsel and remain 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 the supervisor.

• Bilingual in English/Spanish a plus.
• 5 years of experience adjusting Workers Compensation Claims in Illinois required.
• Proficiency in the entire Microsoft Office suite.
• Knowledge of relevant workers compensation laws.
• Strong grasp of medical terminology.
• Familiarity with medical cases and typical treatment progression.
• Excellent oral and written communication abilities.
• Attention to detail and good organization skills.
• Ability to negotiate issues and settlements.
• Strong focus on customer service, including 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.

Competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance, and a 401(k) with match.

Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/family status, race, religion, sex, or sexual orientation. Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.