Senior Workers’ Compensation Claims Analyst

Advocate Health Care; Oak Brook (IL); On-site; USD 65,000 - 90,000; Full time

Job summary

Advocate Health Care is seeking a Workers Compensation Claims Analyst to adjudicate medical-only claims and limited lost-time workers’ compensation claims. The role involves collaborating with case managers, attorneys, and vendors to manage subrogation liens and negotiate settlements.

The analyst will monitor costs, document electronic files, reserve files timely, and coordinate light duty as needed. Strong analytical and confidentiality skills are essential for success in this role.

Qualifications

• Bachelor’s degree or combination of education and related experience.
• Adjusters license for assigned jurisdiction as applicable.

Responsibilities

• Adjudicate medical-only claims and limited lost-time workers’ compensation claims.
• Work with case managers, attorneys, and vendors.
• Manage subrogation liens and negotiate settlements.
• Monitor costs, document electronic claim files, and reserve files.
• Communicate claim status to injured teammates and others as needed.
• Develop action plans for prompt payment/denial and report to excess carriers.
• Redirect treatment to network physicians and authorize related expenses.

Skills

Analytical skills

Urgency & accuracy

Communication

Confidentiality

Team collaboration

Education

Bachelor’s degree

Associates in Claims designation preferred

Job description

Advocate Health Care is seeking a Workers Compensation Claims Analyst to adjudicate medical-only claims and limited lost-time workers’ compensation claims. The role involves collaborating with case managers, attorneys, and vendors to manage subrogation liens and negotiate settlements.

The analyst will monitor costs, document electronic files, reserve files timely, and coordinate light duty as needed. Strong analytical and confidentiality skills are essential for success in this role.