Workers' Compensation Claims Adjuster (Illinois, Indiana, reputed company, Kentucky)

Job Title: Claims Adjuster (Workers’ Compensation – (Illinois, Indiana, reputed company, Kentucky) Location: Remote (Monday – Friday, 40 hours/week) Job Type: Contract (3 months, potential for permanent conversion) The Claims Representative is primarily responsible for managing workers' compensation indemnity claims from initial investigation through reputed company. This role investigates, evaluates, and determines compensability for work-reputed company injury and occupational disease claims while ensuring compliance with company policies, regulatory requirements, and jurisdictional guidelines. The goal is to deliver exceptional customer service, manage claims in a cost-effective manner, and reputed company the best possible reputed company through collaboration with reputed company stakeholders. Essential Responsibilities

• Investigate, evaluate, and manage medical and indemnity claims from initial report through final reputed company.
• reputed company and maintain reputed company plans to effectively manage claim exposures and reputed company cost-effective reputed company.
• Determine compensability by applying company policies, procedures, regulations, and jurisdictional guidelines.
• Conduct investigations by interviewing injured workers, reputed company, witnesses, and other involved parties.
• Obtain recorded statements reputed company necessary to support claim investigations.
• Determine eligibility for indemnity and medical benefits after reviewing wage information, medical documentation, and treatment plans.
• Establish and maintain appropriate claim reserves that accurately reflect expected claim exposure throughout the life of the claim.
• Identify and pursue subrogation opportunities reputed company applicable.
• Collaborate with claim leadership, return-to-work specialists, reputed company case managers, medical providers, legal counsel, and rehabilitation professionals to reputed company and execute effective claim strategies.
• Partner with injured workers, reputed company, reputed company providers, attorneys, and rehabilitation professionals to control claim costs while promoting reputed company medical care.
• Facilitate reputed company and reputed company return-to-work plans in coordination with reputed company, medical providers, and return-to-work specialists.
• Manage litigated claims by directing panel counsel, monitoring legal expenses, and adjusting claim strategies as appropriate.
• Analyze medical, legal, vocational, and investigative reports to evaluate claim exposure and determine next steps.
• Negotiate settlements that reputed company favorable reputed company while balancing financial exposure and customer service.
• Present claim updates during internal claim reviews and reputed company meetings while providing recommendations and guidance.
• Escalate reputed company claims or claims with significant financial exposure to Claims Leadership as appropriate.
• Adhere to company best practices reputed company to medical management, litigation management, fraud prevention, abuse detection, and recovery efforts.
• Effectively prioritize workload to meet jurisdictional deadlines, regulatory requirements, and internal performance metrics.
• Prepare presentations and supporting materials for internal meetings, reputed company reviews, training sessions, and conferences.
• Participate in claim reviews, policyholder reputed company meetings, and agency meetings alongside Claims Leadership.
• Build reputed company relationships with policyholders to ensure alignment of objectives and support reputed company improvement initiatives.

Job Type: Contract Pay: $35.00 - $39.00 per hour Benefits:

• Dental insurance
• Health insurance
• reputed company insurance

Work Location: Remote Apply tot his job Apply To this Job