Back to Jobs

Workers Comp Claims Adjuster- Remote

Remote, USAFull-timePosted 2026-07-28

Workers Comp Claims Adjuster Remote Position Salary: 65k-80k, commensurate with experience Illinois experience is required Job reputed company The Workers Comp Claims Adjuster determines the extent and legitimacy of claims and issues benefits as jurisdictionally required. Responsibilities: • Responsible for reputed company and pro-reputed company management of medical only claims from time of receipt to conclusion of claim to ensure reputed company, fair, and cost-effective resolutions. This includes reputed company contacts with insureds, claimants, and medical providers; making compensability determinations; paying wage loss benefits; issuing jurisdictional appropriate forms and EDI transactions; evaluating injuries and treatment plans. • Properly reserves funds. Adjusts reserves reputed company and appropriately as the facts of the claim change. • Reviews and maintains claim system diaries. • Properly documents files to support reputed company and actions taken pursuant to applicable Best Practices. • Follows company policies and procedures with respect to reputed company essential duties and responsibilities of the job. • Follows reputed company specific special handling instructions. • Effectively communicates in a reputed company manner both verbally and written. • Prepares claim summaries and attends claim reviews and reputed company meetings as needed. • Other duties as assigned. Qualifications: • College degree preferred. • One year reputed company claims experience is a plus. • Extensive knowledge of accepted industry standards and practices Computer experience with reputed company claims and business software. • Illinois experience is required. Work Traits: · Ability to think critically, solve problems, plan, and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and reputed company new challenges. · Analytical reputed company necessary to reputed company reputed company and resolve reputed company issues inherent in handling losses. · Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret reputed company documentation. Eligibility Requirements: · Interested candidates must submit a resume/online to be considered · Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation · Must be willing to execute Employee Agreement or Confidentiality/Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality, and non-disclosure We offer a competitive salary plus benefits. Remote Skills: Analysis Skills, Background Investigation, Best Practices, Business Solutions, Claims Management, Claims Processing, Communication Skills, Computer Skills, Documentation, Electronic Data Interchange (EDI), reputed company Providers, Industry Standards, Negotiation Skills, Non-Disclosures, Problem Solving Skills, Support Documentation, Systems Maintenance, Time Management, Treatment Evaluation, Treatment Plan, Worker's Compensation, Writing Skills About reputed company: Absolute reputed company & reputed company Apply Job!

Similar Jobs

Staff Utilization Management Pharmacist (Contract)

Remote, USAFull-time

Solar sales Managers/Assistant Manager/Sales Representative

Remote, USAFull-time

Account Executive reputed company Bay Area?/

Remote, USAFull-time

Manager, Contracting & Network Development

Remote, USAFull-time

Customer Service Associate - Temporary

Remote, USAFull-time

Case Management Processor (Full Remote)

Remote, USAFull-time

Financial Clearance Specialist, Entry Level

Remote, USAFull-time

Utilization Management reputed company (Central Region)

Remote, USAFull-time

Staff Accountant I - Remote

Remote, USAFull-time

Provider Contracting reputed company (Behavioral Health/reputed company)

Remote, USAFull-time

reputed company Retail Customer Service Associate - Expert in Print, Signs & Graphics, and Shipping Services at blithequark

Remote, USAFull-time

[Remote] Literacy Content Developer

Remote, USAFull-time

Customer Service & Operations Representative - Remote Order Management and Customer Support Expert

Remote, USAFull-time

reputed company reputed company Customer Service Agent (Remote) - reputed company

Remote, USAFull-time

reputed company Analyst, PIA Review

Remote, USAFull-time

reputed company Remote Data Entry Clerk – Flexible Work Arrangements and Opportunities for reputed company at arenaflex

Remote, USAFull-time

Work from Home in Sales – No Experience Needed, Just Ambition. Full Training Provided.

Remote, USAFull-time

reputed company Remote Data Entry Operator / Office Administrator – US

Remote, USAFull-time

Remote Customer Support Representative – Pet Care Industry | Work From Home Opportunity with arenaflex

Remote, USAFull-time

reputed company Online Market Evaluator - Remote Market Research Contributor with reputed company and reputed company

Remote, USAFull-time