Senior Claims Specialist

Title: Sr Claims Specialist (1 of 2)

Location:

Downers Grove, Illinois

Job Description:

Job Title: WC Sr Claims Specialist (Remote or Hybrid IL)

RESPONSIBILITIES: The Sr. Claims Specialist manages complex and high-profile Workers' Compensation claims. Reviews policy coverages and determines validity and compensability of the claim, files necessary documents with state agencies. Collaborate with case managers to create action plans and outcomes to reduce overall cost of claim. Communicates claim status with the customer, claimant and client. Work with attorneys, manage subrogation, negotiate settlements and handle recoveries. Meets or exceeds performance competencies and adheres to client and carrier guidelines

QUALIFICATIONS:

TOP QUALIFICATIONS

• 3 years managing complex Workers' Compensation claims in Il and KY jurisdiction. Will consider MI and IN, if worked extensively in those states.
• A home state license that is reciprocal (ex, Florida or Texas)
• Knowledge of the Workers' Compensation administration, case management and cost containment solutions.
• Strong communication skills - verbal and written
• Strong interpersonal, time management and organizational skills
• Mentor team members to build knowledge and understanding of claims practices

TECHNICAL SKILLS

• MS Office - Outlook, Word, Excel, Teams, SharePoint
• Multiple screens/monitors

EDUCATION

• Bachelor's degree or a combination of education and related experience

CERTIFICATE/LICENSE

• Experienced Examiner - State Certified in IL and Licensed in MI, IN, KY or Licensed in a reciprocal state (e.g., TX, FL, or equivalent)
• Self-Insured Certificate