Experienced Workers' Comp Claims Analyst

Advocate Health Care; Oak Brook (IL); On-site; USD 60,000 - 80,000; Full time

Job summary

Advocate Health Care in Illinois seeks a Workers' Compensation Claims Analyst who applies analytical thinking to adjudicate medical only and limited lost time claims, ensuring compliance with state rules and departmental standards.

You will collaborate with case managers, attorneys, and vendors, manage subrogation liens, negotiate settlements, and monitor costs while maintaining strict confidentiality and timely documentation.

Qualifications

• Requires adjusters license for the assigned jurisdiction.
• Bachelor's degree or equivalent experience.
• Experience with workers' compensation rules across jurisdictions.

Responsibilities

• Adjudicate medical_only claims and limited lost time claims.
• Engage with case managers, attorneys, and vendors.
• Manage subrogation liens and negotiate settlements.
• Monitor costs, document files, and reserve appropriately.
• Maintain confidentiality and provide education as needed.
• Support additional projects and duties as assigned.

Skills

Analytical skills

Sense of urgency

Accuracy

Communication

Confidentiality

Mentoring

Education

Adjusters license

Bachelor's degree

Job description

Advocate Health Care in Illinois seeks a Workers' Compensation Claims Analyst who applies analytical thinking to adjudicate medical only and limited lost time claims, ensuring compliance with state rules and departmental standards.

You will collaborate with case managers, attorneys, and vendors, manage subrogation liens, negotiate settlements, and monitor costs while maintaining strict confidentiality and timely documentation.