Workers' Compensation Claims Adjuster - REMOTE

Full job description

Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking a dynamic, experienced workers’ compensation claims adjuster to join our Third-Party Administration team remotely.

Job Summary

The Workers' Compensation Claims Adjuster is responsible for the investigation, administration, and settlement of workers’ compensation claims. This person must maintain timely correspondence and determine the best course of action with high levels of autonomy, working closely with clients, claimants, and attorneys as an experienced claims professional.

Full job description

Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking a dynamic, experienced workers’ compensation claims adjuster to join our Third-Party Administration team remotely.

Job Summary

The Workers' Compensation Claims Adjuster is responsible for the investigation, administration, and settlement of workers’ compensation claims. This person must maintain timely correspondence and determine the best course of action with high levels of autonomy, working closely with clients, claimants, and attorneys as an experienced claims professional.

Essential Functions

• Investigate new claims and initiate timely contacts with clients, claimants, medical providers and legal counsel to determine appropriate actions to be taken
• Review medical reports and determine eligibility for benefits / payments
• Calculate settlement and award values, documenting claims with benefits due
• Negotiate settlements with claimants and attorneys, and draw up contracts
• Respond to excess carrier requests regarding claim status and follow through on recommended actions
• Meet with clients and account management to conduct claim reviews. This involves discussions to present cost reports, reserves, active claims and settlement recommendations; there is minimal travel to account locations
• Refer claims occasionally to defense counsel, remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses
• Serve assigned clients as an experienced claims consultant
• Attend meetings as assigned by your supervisor

Requirements

• Bilingual in English/Spanish a plus
• 5 years of experience adjusting Workers Compensation Claims in Illinois required
• Proficiency in entire Microsoft Office suite
• Knowledge of relevant workers compensation laws
• Strong grasp of medical terminology
• Familiarity with medical cases and how treatment typically progresses
• Excellent oral and written communication abilities
• Attention to detail and good organization skills
• Ability to negotiate issues and settlements
• Strong focus on customer service which includes timely response to requests/inquiries
• Ability to adapt to changing technologies and learn functionality of new equipment and systems
• Ability to establish and maintain effective working relationships with others

Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.

Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.

AAP/EEO Statement
Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.

Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.

About Charles Taylor
Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers’ compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.

If you require alternative methods of application or screening, you must approach the employer directly to request this as Indeed is not responsible for the employer's application process.

• Investigate new claims and initiate timely contacts with clients, claimants, medical providers and legal counsel to determine appropriate actions to be taken
• Review medical reports and determine eligibility for benefits / payments
• Calculate settlement and award values, documenting claims with benefits due
• Negotiate settlements with claimants and attorneys, and draw up contracts
• Respond to excess carrier requests regarding claim status and follow through on recommended actions
• Meet with clients and account management to conduct claim reviews. This involves discussions to present cost reports, reserves, active claims and settlement recommendations; there is minimal travel to account locations
• Refer claims occasionally to defense counsel, remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses
• Serve assigned clients as an experienced claims consultant
• Attend meetings as assigned by your supervisor

Requirements

• Bilingual in English/Spanish a plus
• 5 years of experience adjusting Workers Compensation Claims in Illinois required
• Proficiency in entire Microsoft Office suite
• Knowledge of relevant workers compensation laws
• Strong grasp of medical terminology
• Familiarity with medical cases and how treatment typically progresses
• Excellent oral and written communication abilities
• Attention to detail and good organization skills
• Ability to negotiate issues and settlements
• Strong focus on customer service which includes timely response to requests/inquiries
• Ability to adapt to changing technologies and learn functionality of new equipment and systems
• Ability to establish and maintain effective working relationships with others

Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.

Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.

AAP/EEO Statement

Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.

Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.

About Charles Taylor

Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers’ compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.

If you require alternative methods of application or screening, you must approach the employer directly to request this as Indeed is not responsible for the employer's application process.