Claims Adjuster

BCforward • Chicago, IL, United States • $200k - $250k / year • 1w ago

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers’ needs into a full service personnel solutions organization. BCforward’s headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana.

Job Description

Location: Chicago IL 60601

Duration: 3+months

Rate: $35/Hr on W2

Manage within company standards and best practices complex and problematic high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim.

ESSENTIAL JOB DUTIES:

Receive claim and acknowledgment of the claim
Determine validity and compensability of the claim by investigating and gathering information regarding the claim
Establish reserves and authorize payments within reserving authority limits
Develop and manage well documented action plan with the case manager and outcomes manager to reduce overall cost of the claim
Coordinate early return-to-work efforts with the case manager and employer
Manage subrogation of the claim
Negotiate settlements when necessary
Actively manage the litigation process
Manage potential claim recoveries of all types
Communicate claim status with the customer and claimant
Adhere to client and carrier guidelines and participate in claims review as needed
Develop and maintain professional customer relationships
Requires regular and consistent attendance

Experience/Qualifications required:

2 years’ Work Comp claims management experience required
Excellent oral and written communication skills
PC literate, including Microsoft Office (Word, Excel)
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Knowledge of claims administration, case management and cost containment solutions as applicable to Workers' Compensation

#J-18808-Ljbffr