Senior Workers' Comp Claim Investigator (CA)

AF Group; Chicago (IL); Remote; USD 65,000 - 109,000; Full time

Job summary

AF Group seeks an advanced claim handler to investigate complex workers' compensation claims and determine compensability with significant discretion. The role involves negotiating settlements, mentoring junior handlers, and coordinating special projects while managing cost and exposure within authority limits.

Experience across jurisdictions is valued. The ideal candidate has a Bachelor's degree, 5 years in claims, and may hold related certifications; bilingual skills are a plus.

Qualifications

• Bachelor's degree in a related field required.
• Five (5) years of experience in a workers' compensation claims environment.
• Certification or progress toward certification highly preferred and encouraged.
• Bilingual skills preferred.

Responsibilities

• Investigates claims and determines compensability under workers' compensation.
• Negotiates settlements with attorneys or injured parties within given authority.
• Mentors lower-level claim handlers and coordinates special projects.
• Manages outside vendors and maintains relationships with internal/external customers.
• Stays current on workers' compensation statutes and case law.

Skills

Negotiation

Mentoring

Communication skills

Attention to detail

Analytical skills

Education

Bachelor's degree in a related field

Job description

AF Group seeks an advanced claim handler to investigate complex workers' compensation claims and determine compensability with significant discretion. The role involves negotiating settlements, mentoring junior handlers, and coordinating special projects while managing cost and exposure within authority limits.

Experience across jurisdictions is valued. The ideal candidate has a Bachelor's degree, 5 years in claims, and may hold related certifications; bilingual skills are a plus.