Claims Adjuster II

Randstad USA; Chicago (IL); Hybrid; USD 41,000 - 66,000; Full time

Benefits offered by this job

Hybrid schedule

Medical insurance

Prescription coverage

Dental insurance

Vision insurance

AD&D

Life insurance

Short-term disability

401K plan

Job summary

Randstad USA is seeking an experienced Workers' Compensation Claims Adjuster for a Western territory contract role in the Chicago area. The position handles end-to-end claims, from coverage determinations to settlements, with a collaborative hybrid schedule (2 days in-office, 3 days remote) and strong potential for extension or full-time conversion.

The ideal candidate has 3–5 years of CA workers’ comp experience, a Bachelor’s degree or equivalent, and proficiency in Microsoft Office and claims

Qualifications

• California Certification required.
• 3–5 years of workers' compensation claims experience.
• Bachelor’s degree or equivalent; professional designations preferred.
• Proficiency in Word, Excel, Outlook and modern claims software.

Responsibilities

• Interpret complex coverages, set reserves, authorize payments within authority.
• Coordinate investigations with insureds, claimants and experts; SIU referrals.
• Structure complex settlements; pursue subrogation and recovery opportunities.
• Collaborate with defense attorneys, medical managers and underwriters.
• Document files and prepare analyses for leadership; participate in special projects.
• Provide guidance to junior staff; stay current on regulations and trends.

Skills

Claims Processing

Claims

Workers Compensation Reporting Claims

Analytical Thinking

Responsiveness

Confidentiality

Verbal Communication

Filing

Basic Software Skills

Education

Bachelor's degree

Tools

Microsoft Office

Claims management software

Job description

Locations: Chicago, IL | Downers Grove, IL | Walnut Creek, CA | Los Angeles, CA | Portland, OR

Employment Type: Contract / Temporary (with strong potential for extensions and direct full-time conversion for the right candidate)

About the Role

Our client is seeking an experienced, detail-oriented Workers' Compensation Claims Adjuster to manage complex claims across our Western territory. In this role, you will take ownership of end-to-end claims handling- from coverage determination and investigation to settlement negotiations and multi-party stakeholder coordination.

This role operates on a collaborative hybrid schedule (2 days in-office, 3 days remote) and offers an excellent foot-in-the-door opportunity with clear pathways toward contract extension and full-time conversion.

Required Qualifications & Experience

• California Certification: Active California Workers' Compensation Claims Administration / Adjuster Certification required.
• Experience: Typically a minimum of 3 to 5 years of dedicated workers' compensation claims handling experience (with demonstrated exposure to California workers' comp laws and procedures).
• Education: Bachelor’s degree or equivalent professional experience; industry professional designations (e.g., WCCA, WCCP, AIC, ARM, or CPCU) preferred.
• Technical & Software Skills: Solid proficiency in Microsoft Office Suite (Word, Excel, Outlook) and modern claims management software.

Skills & Competencies

• Technical Claims Acumen: In-depth knowledge of workers' compensation insurance theory, practices, statutory requirements, and dispute resolution.
• Negotiation & Communication: strong interpersonal and negotiation skills, with the ability to articulate complex claim issues and collaborate effectively with diverse stakeholders.
• Sound Judgment & Problem Solving: Proven ability to exercise independent judgment, evaluate claim merits, and execute strategies based on cost-benefit analyses.
• Organization & Autonomy: strong time-management capabilities to manage competing deadlines, maintain proactive diary management, and achieve positive long‑term business outcomes.

Responsibilities

• Coverage & Reserves: Interpret complex or unusual policy coverages, set appropriate claims activities, establish reserves, and authorize payments within delegated authority while managing loss costs and expenses.
• Investigation & Fraud Detection: Coordinate and conduct thorough investigations through direct contact with insureds, claimants, witnesses, and experts; seek early resolution opportunities and refer suspicious files to the Special Investigation Unit (SIU).
• Complex Settlements & Subrogation: Utilize advanced negotiation skills to structure complex settlement packages; identify third‑party liability and recovery potential, collaborating with subrogation/salvage teams.
• Cross-Functional Collaboration: Partner with defense attorneys, nurse case managers, treating physicians, underwriters, account representatives, and insureds to develop timely, cost-effective claim resolution strategies.
• Reporting & Data Governance: Accurately document claim files and input data reflecting claim status; prepare and present claims analyses and reports for leadership, occasionally participating in special projects.
• Guidance & Compliance: Provide technical guidance to junior claims staff; maintain up-to-date knowledge of state regulations, case law, and industry trends across the Western territory.

salary: $30 - $48 per hour

shift: First

work hours: 8 AM - 5:30 PM

education: Bachelors

Skills

• Claims Processing
• Claims
• Workers Compensation Reporting Claims
• Analytical Thinking
• Responsiveness
• Confidentiality
• Verbal Communication
• Filing
• Basic Software Skills

Qualifications

• Years of experience: 3 years
• Experience level: Experienced

Education

• Bachelors (required)

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

Experience

• Experienced
• 3 years

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