Workers’ Compensation Claims Adjuster

One80 Intermediaries; Illinois; Hybrid; USD 51,000 - 74,000; Full time

Job summary

A leading insurance firm is seeking a Workers' Compensation Claims Adjuster to manage various claims effectively. The role involves investigating cases, ensuring timely resolutions, and adhering to Illinois regulations. Strong communication and analytical skills are essential for success in this position, which offers competitive compensation and comprehensive benefits.

Benefits

Medical benefits

Dental benefits

Vision benefits

Disability insurance

Retirement savings plan

Paid time off

Paid holidays

Qualifications

• Minimum 5 years handling workers' compensation claims.
• Solid understanding of Illinois Workers' Compensation laws.
• Ability to work independently and manage time effectively.

Responsibilities

• Investigate and determine compensability on assigned claims.
• Negotiate and settle claims within designated authority.
• Maintain accurate diary entries for all assigned files.

Skills

Verbal communication

Written communication

Time management

Organizational skills

Research

Analytical skills

Tools

Microsoft Windows

Job description

Workers' Compensation Claims Adjuster page is loaded

Workers' Compensation Claims Adjuster

Apply remote type Hybrid locations Remote - Illinois time type Full time posted on Posted Yesterday job requisition id JR102963

We’re seeking a dedicated Workers’ Compensation Claims Adjuster to investigate, determine compensability, and bring to resolution all claims assigned. Under the guidance of The Sandner Group, a division of One80 Intermediaries, the Workers' Compensation Self-Insurance Trust (WCSIT) has grown to become the largest and most successful self-insurance pool for school districts’ workers’ compensation in the state of Illinois.

Your Impact:

• Confirm coverage and determine compensability on all losses.

• Investigate all new cases assigned in a timely and thorough manner.

• Make necessary contacts within 24 hours of assignment.

• Outline facts of each case and formulate a strategy to bring the file to conclusion.

• Maintain accurate and timely diary entries for all assigned files.

• Set and maintain timely and accurate reserves on all assigned claims.

• Calculate and provide accurate disability benefits within regulatory guidelines.

• Negotiate and settle claims within designated authority.

• Identify subrogation opportunities and pursue reimbursement accordingly.

• Assist with claim reviews or presentations to the board as needed.

• Ensure timely and accurate claims payments.

Successful Candidates Will Have:

• Minimum 5 years of experience in handling medical, lost-time, and litigated Workers' Compensation claims in an insurance environment or TPA.

• In-depth understanding of applicable Illinois Workers' Compensation laws and regulations.

• Solid knowledge of medical terminology.

• Ability to conduct thorough research and analyze complex information.

• Strong verbal and written communication skills, with the ability to convey information clearly and concisely.

• Ability to work independently with self-initiative.

• Excellent time management, organizational skills, and the ability to prioritize issues and tasks.

• Proficiency in Microsoft Windows environment and related software tools.

One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2024, we were ranked 14th largest broker in the U.S. by Business Insurance.

At One80 Intermediaries, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, life, and retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $51,800.00 - $73,100.00 + bonus. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience.

One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Learn more about working at One80 Intermediaries by visiting our careers page: www.one80.com/careers .

Personal information submitted by California applicants in response to a job posting is subject to One80's California Job Applicant Privacy Notice .

One80 Intermediaries offers market leading access to major insurance markets in the US, UK, Canada and Asia, as well as exclusive programs and in-house binding authority for property & casualty, financial lines, personal lines, life insurance, medical stop loss risks, travel/accident and health, executive benefits, affinity business and warranty coverage.
One80 serves commercial companies, non-profits, public entities, associations, unions and private individual risks; and has offices in 55 locations throughout the US and Canada.