Hybrid Workers' Comp Claims Adjuster – Lost Time

Insurance Program Managers Group; St. Charles (IL); Hybrid; USD 73,000 - 107,000; Full time

Benefits offered by this job

Year End Bonus

20 days of PTO

Medical, Dental, and Vision coverage on day one

Telemedicine at no cost

Professional development support

Flexible time off

Life Insurance and Disability coverage

Job summary

A leading insurance provider in St. Charles, IL is seeking a Workers' Compensation Lost Time Adjuster. This full‑time, hybrid role includes investigating claims, establishing reserves, and communicating updates with clients. Candidates should have 2+ years of experience as a Workers' Compensation adjuster and strong skills in Microsoft Office. The compensation ranges from $73,000 to $107,000 annually, with benefits including medical coverage, generous PTO, and a Year End Bonus.

Qualifications

• At least 2+ years of Workers' Compensation adjuster experience.
• Knowledge of common software programs such as Microsoft Office and Excel.
• Excellent verbal and written communication skills.

Responsibilities

• Investigate claims to determine compensability, coverage, and exposure.
• Establish, monitor, and adjust reserves; authorize or deny payments.
• Review new claims within required timeframes (1–2 business days).
• Maintain accurate claim files, notes, coding, and diary management.
• Communicate claim status clearly and timely with clients, claimants, insureds, and partners.
• Draft and issue coverage correspondence.
• Identify and pursue subrogation opportunities.
• Manage vendor selection and control claim‑related costs.
• Negotiate settlements when appropriate.
• Collaborate with management, defense counsel, and nurse case management on complex claims.
• Ensure compliance with Medicare requirements.
• Handle claims across multiple jurisdictions.

Skills

Workers' Compensation adjuster experience

Knowledge of Microsoft Office

Excellent verbal communication skills

Excellent written communication skills

Job description

A leading insurance provider in St. Charles, IL is seeking a Workers' Compensation Lost Time Adjuster. This full‑time, hybrid role includes investigating claims, establishing reserves, and communicating updates with clients. Candidates should have 2+ years of experience as a Workers' Compensation adjuster and strong skills in Microsoft Office. The compensation ranges from $73,000 to $107,000 annually, with benefits including medical coverage, generous PTO, and a Year End Bonus.