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Workers' Compensation Specialist

3 months ago

Chicago, United States Insight Global Full time

Insight Global is looking for a Workers Compensation Claims Specialist to join a large organization headquartered in Chicago, IL. The Claims Specialist manages 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, supporting the goals of claims department. This role can sit remotely but needs to work on CST

Must Haves: • High School Diploma • 3 or more years of Workers Compensation Claims Experience • Licensed in KY, IN, MI (Can have license in other state, but must be reciprocal)

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

-Receives claim, confirms policy coverage and acknowledgement of the claim. -Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies. -Establishes reserves and authorizes payments within reserving authority limits. -Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim. -Coordinates early return-to-work efforts with the appropriate parties. -Manages subrogation and litigation of claim as it applies.

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