Sr. Claims Adjuster - Workers Compensation Job at Insight Global, Rolling Meadows, IL

  • Insight Global
  • Rolling Meadows, IL

Job Description

Role: Senior Claims Adjuster - Workers' Compensation

Location: Remote

Duration: 3-month contract-to-potential hire

Pending Caseload: Approximately 150-180 workers' compensation claims

Pay: $43.71/hr

Job Description

The Senior Resolution Manager is responsible for handling complex workers' compensation claims through investigation, evaluation, litigation management, and resolution. This individual will manage a high-volume caseload while partnering with employers, injured workers, attorneys, medical providers, and insurance partners. The ideal candidate will have strong workers' compensation experience, excellent claim judgment, and the ability to independently manage complex and litigated claims across multiple clients.

Required Qualifications

  • 5-7+ years of workers' compensation claims experience
  • Experience managing indemnity and lost-time claims
  • Ability to independently manage a high-volume caseload
  • Experience handling claims across multiple clients
  • Strong understanding of compensability and state workers' compensation regulations
  • Excellent investigation and claim resolution skills
  • Comfortable working in a TPA environment
  • Ability to learn and utilize claims management systems

Midwest/California Requirement (Must Have)

Experience and/or active licensing in several of the following states:

  • Illinois
  • Wisconsin
  • Michigan
  • Minnesota
  • Iowa
  • South Dakota
  • California

Preferred Qualifications

  • Litigation management experience
  • TPA experience (Gallagher Bassett, Sedgwick, Broadspire, CorVel, ESIS, CCMSI, Charles Taylor, PMA, Cannon Cochran, Helmsman, etc.)
  • Captive insurance program experience
  • Multi-state workers' compensation claims handling experience
  • Self-insured account experience

Responsibilities

  • Manage a portfolio of workers' compensation claims from assignment through closure
  • Investigate claims and determine compensability
  • Review medical records, wage information, and treatment plans
  • Coordinate return-to-work efforts
  • Establish claim reserves and manage claim strategy
  • Partner with attorneys on litigated files
  • Negotiate settlements and claim resolutions
  • Maintain diary compliance and claim documentation
  • Communicate regularly with employers, claimants, and insurance partners
  • Effectively manage claims across multiple clients while meeting service standards

Job Tags

Contract work, Remote work

Similar Jobs

Slusarski Excavating & Paving

Heavy Equipment Operator (3+ yrs experience) Job at Slusarski Excavating & Paving

 ...Job Description Job Description About the Role: As a Heavy Equipment Operator, you will be responsible for operating a variety of heavy machinery to complete construction projects. Your expertise in GPS technology, civil utility installation, and blueprint reading... 

Chewy

Director, Paid Social Media Job at Chewy

Job Description:Director, Paid Social MediaAt Chewy, we believe great work starts with great...  ...is seeking a Director, Paid Social Media to lead one of the most visible and strategically...  ...parents increasingly search, discover, evaluate, and shop.This is a high-impact... 

Pompano Family Smiles

Bilingual dental front desk (Spanish and English) Job at Pompano Family Smiles

 ...administrative tasks such as filing, data entry, and maintaining patient records....  ...communication Dental receptionist Medical coding Greeting customers Filing English...  ...records Communication skills Entry level Client interaction via phone calls... 

Handyman On Call LLC

Roofing Estimator Job at Handyman On Call LLC

 ...Benefits:Bonus based on performanceCompany carCompetitive salaryOpportunity for advancementHandyman on call is seeking a Roofing Estimator to join our team. This role involves assessing roofing projects, providing accurate estimates, and working with clients to secure... 

Executive Roofing Systems

Commercial Roofing Estimator Job at Executive Roofing Systems

 ...ABOUT THE ROLE Executive Roofing Systems is looking for an experienced Commercial Roofing Estimator to join our growing team. This is a key role within our organization, responsible for turning opportunities into accurate, well planned roofing projects. Our Estimator...