Workers' Comp Claims Specialist - Return-to-Work Focus

VetJobs; Downers Grove (IL); Presencial; USD 60.000 - 75.000; Jornada completa

Descripción de la vacante

Travelers Insurance in Downers Grove, IL is seeking a workers' compensation claims adjuster. The role focuses on managing claims from investigation to settlement, coordinating with medical case managers, and ensuring timely resolutions with proper documentation.

Ideal candidates have 1 year WC claim handling experience, strong analytical and communication skills, and knowledge of insurance regulations. On-site role with opportunities for professional growth.

Formación

• Must have 1 year workers' compensation claim handling experience
• Strong analytical and communication skills
• Ability to manage files, contact insureds and medical providers
• Knowledge of state and federal insurance regulations

Responsabilidades

• Investigate policy coverage and determine compensability.
• Establish reserves and document rationale for claims.
• Manage files to achieve timely resolutions and return to work when possible.
• Collaborate with medical and legal resources to pursue settlement opportunities.
• Negotiate settlements within designated authority and apply Medicare Set Asides when needed.
• Maintain file quality with timely contacts and proper documentation.

Conocimientos

Workers' Comp

Claims Handling

Negotiation

Analytical Thinking

Communication

Investigation

Planning & Organizing

Customer Service

Teamwork

Medical Knowledge

Educación

High School Diploma or GED

Descripción del empleo

Travelers Insurance in Downers Grove, IL is seeking a workers' compensation claims adjuster. The role focuses on managing claims from investigation to settlement, coordinating with medical case managers, and ensuring timely resolutions with proper documentation.

Ideal candidates have 1 year WC claim handling experience, strong analytical and communication skills, and knowledge of insurance regulations. On-site role with opportunities for professional growth.