Current jobs related to Workers' Compensation Claims Analyst - Oak Brook - Advocate Health

  • Workers' Compensation Support Specialist

    2 weeks ago

    Oak Brook, United States Advocate Health Full time

    The Workers Compensation Claims Support Spec provides support and backup for the administration of workers' compensation claims for the organization. This position requires critical thinking and excellent customer service. The Claims Administration Support will have considerable phone interaction with both internal and external stakeholders, leadership, and...

  • Claims Examiner Pension

    4 weeks ago

    Oak Brook, United States Banner Personnel Full time

    Job DescriptionJob DescriptionClaims Examiner - Pension Temp to perm positionJob descriptionWe are looking to hire Claims Examiners to work for a well-established client known for providing benefits for retirees. The candidate will review insurance claims, determine coverage, investigate claims, and negotiate settlements.Pay: $48,000 to $51,000 per...

  • Manager, Corporate Claims

    2 months ago

    Oak Brook, United States Administrative Portillos Hot Dogs LLC Full time

    Job DescriptionJob DescriptionCORE RESPONSIBILITIESThe Manager, Corporate Claims will help Portillo’s deliver our Purpose to create lifelong memories by igniting the senses with unrivaled food and experiences by: Family: Work together to make everyone feel at home, and we step up when someone needs help· Design and lead a streamlined incident and claim...

  • Corporate Claims Manager

    1 week ago

    Oak Brook, Illinois, United States Administrative Portillos Hot Dogs LLC Full time

    Job OverviewPRIMARY DUTIESThe Corporate Claims Manager plays a vital role in advancing the mission of Administrative Portillos Hot Dogs LLC by enhancing customer experiences through effective claims management:Develop and oversee the framework for incident and claims managementCollect data and conduct thorough investigations of incidentsEnsure consistency in...

  • Corporate Claims Manager

    1 week ago

    Oak Brook, Illinois, United States Administrative Portillos Hot Dogs LLC Full time

    Job OverviewKEY RESPONSIBILITIESThe Corporate Claims Manager plays a crucial role in fulfilling the company's mission by enhancing customer experiences through effective claims management by:Developing and overseeing the incident and claims management frameworkCollecting data and conducting thorough investigations of incidentsEnsuring consistency in claims...

  • Corporate Claims Manager

    1 week ago

    Oak Brook, Illinois, United States Administrative Portillos Hot Dogs LLC Full time

    Job OverviewPRIMARY DUTIESThe Corporate Claims Manager plays a vital role in supporting the mission of Administrative Portillos Hot Dogs LLC by enhancing customer experiences through effective claims management by:Establishing and overseeing the structure for incident and claims managementCollecting data and conducting thorough investigations of...

  • Auto Bodily Injury Adjuster

    1 week ago

    Oak Brook, United States TheBest Claims Solutions Full time

    Our client is looking for multiple Litigation Bodily Injury Claims Adjusters for their Oak Brook, IL office. Ideal Candidates will have 2+ years of experience handling Auto Insurance claims for a Non-Standard/Standard Auto Insurance Company. Required Qualifications: 7+ years experience of handling non-standard/standard automobile lines Solid adjusting...

  • Pension Claims Specialist

    1 week ago

    Oak Brook, Illinois, United States Banner Personnel Full time

    Job OverviewPension Claims SpecialistTemp to Permanent OpportunityWe are seeking to recruit Pension Claims Specialists for a reputable organization recognized for delivering retirement benefits. The selected candidate will be responsible for evaluating insurance claims, assessing coverage, investigating claims, and facilitating settlements.Compensation:...

  • Auto Injury Claims Analyst

    1 week ago

    Oak Brook, Illinois, United States Illinois Association of Mutual Insurance Companies Full time

    Illinois Association of Mutual Insurance Companies is pleased to announce an opportunity for skilled Automobile Bodily Injury Claims Adjusters to become part of our dedicated team. The successful candidate will be tasked with the investigation and resolution of automobile bodily injury claims, including those that involve intricate liability issues and...

  • Auto Liability Claims Specialist-Oak Brook

    2 months ago

    Oak Brook, United States Warrior Insurance Network Full time

    Job DescriptionJob DescriptionWe are Growing!Coming Soon-Claims Office Opening in Oak Brook!We are First Chicago Insurance Company! We have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we are opening a new Claims office...

  • Auto Liability Claims Specialist-Oak Brook

    2 months ago

    Oak Brook, United States First Chicago Insurance Company (FCIC) Full time

    Job DescriptionJob DescriptionWe are Growing!Claims Office Open in Oak Brook!We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak...

  • Auto Bodily Injury Claims Specialist- Oak Brook

    2 months ago

    Oak Brook, United States Warrior Insurance Network Full time

    Job DescriptionJob DescriptionWe are Growing!Coming Soon-Claims Office Opening in Oak Brook!We are Warrior Insurance Network! We have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we are opening a new Claims office in...

  • Automotive Claims Adjuster

    4 weeks ago

    Oak Brook, United States First Chicago Insurance Company Full time

    We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL! If you are an experienced Non-Standard Auto CLAIMS PROFFESSIONAL (with...

  • Auto Bodily Injury Claims Specialist- Oak Brook

    2 months ago

    Oak Brook, United States First Chicago Insurance Company (FCIC) Full time

    Job DescriptionJob DescriptionWe are Growing!Coming Soon-Claims Office Opening in Oak Brook!We are First Chicago Insurance Company! We have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we are opening a new Claims office...

  • Automotive Claims Adjuster

    3 months ago

    Oak Brook, United States First Chicago Insurance Company Full time

    We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL!If you are an experienced Non-Standard Auto CLAIMS PROFFESSIONAL (with...

  • Automotive Claims Adjuster

    4 weeks ago

    Oak Brook, United States First Chicago Insurance Company Full time

    We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL!If you are an experienced Non-Standard Auto CLAIMS PROFFESSIONAL (with...

  • Bodily Injury Claims Adjuster

    4 days ago

    Oak Brook, Illinois, United States Illinois Association of Mutual Insurance Companies Full time

    Illinois Association of Mutual Insurance Companies is pleased to announce a new opportunity within our Claims department. We are seeking skilled Automobile Bodily Injury Claims Experts to enhance our team. The successful candidate will be tasked with the investigation and resolution of automobile bodily injury claims, including intricate liability cases and...

  • Automobile Injury Claims Expert

    1 week ago

    Oak Brook, Illinois, United States Illinois Association of Mutual Insurance Companies Full time

    Illinois Association of Mutual Insurance Companies is pleased to announce an opportunity for skilled Automobile Bodily Injury Claims Experts to become part of our dynamic team. The successful candidate will play a crucial role in the investigation and resolution of automobile bodily injury claims, including those involving intricate liability issues and...

  • Auto Claims Supervisor

    2 months ago

    Oak Brook, United States Warrior Insurance Network Full time

    Job DescriptionJob DescriptionWe are Growing!Coming Soon-Claims Office Opening in Oak Brook!We are Warrior Insurance Network! We have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we are opening a new Claims office in...

  • Automobile Bodily Injury Claims Expert

    4 days ago

    Oak Brook, Illinois, United States First Chicago Insurance Company (FCIC) Full time

    Position OverviewCompany OverviewFirst Chicago Insurance Company (FCIC) is expanding its operations and is excited to announce the establishment of a new Claims office.If you possess extensive experience in the field of CLAIMS MANAGEMENT, particularly in auto and nonstandard auto claims, we are committed to recognizing your expertise with a competitive...

Workers' Compensation Claims Analyst

2 months ago

Oak Brook, United States Advocate Health Full time

The Workers Compensation Claims Analyst is a critical thinker who manages claims within organizational standards and best practices. They are responsible for the adjudication of medical only claims and limited lost time workers' compensation claims. They will work closely with case managers, attorneys, and vendors. They will manage subrogation liens and negotiate claim settlements to achieve the best possible outcome and support the goals of the department.

Major Responsibilities:

  • Must possess analytical skills and be able to work with a sense of urgency andaccuracy. Must be able to adhere to multiple state workers' compensation rules, regulations, and laws.
  • Must be able to complete appropriate contacts within 24 hours of assignment, establish and maintain appropriate diary for follow-up, evaluates and determines compensability of workers' compensation claims within the statutory period for multiple jurisdictions.
  • Must be able to be responsible for monitoring and controlling costs, timely documentation of the electronic claim file, claim outcome, timely reserving of files, managing subrogation and litigation, filing appropriate forms and payment of all benefits due within statutory periods and coordinates light duty as needed.
  • Must function as a resource to the injured teammates, leaders, and others with an interest in the claim.
  • Must be able to communicate claim status with the injured teammate and other parties, as necessary.
  • Must be able to develop action plans and strategies for prompt payment/denial of claims bringing them to a timely conclusion while providing all appropriate information. Must be able to monitor and report appropriate claims to excess carriers.
  • Must be able to determine what treatment is appropriate and causally related to the compensable injury and redirect treatment to network physicians as appropriate. Must be able to promptly authorize and approve related expenses of the claim.
  • Must be able to maintain strict confidentiality of information at all times of a sensitive nature and/or protected under state and federallaw.
  • Must be able to develop and maintain professional customer relationships. Must be able to provide education as needed and serve as a mentor to other adjusters and stakeholders.
  • Must be able to provide additional support for additional projects and duties as assigned.

Education Requirements:

  • Adjusters license for assigned jurisdiction as required by specific jurisdiction as applicable.
  • Bachelor's degree required or a combination of education and related experience.

Experience Requirements:

  • 2-5+ years' experience managing progressively difficult Workers Compensation lost time claims. Associates in Claims designation preferred.

Knowledge, Skills & Abilities Required:

  • Must be competent in workers' compensation rules, regulations, and laws for multiple jurisdictions.
  • Must work with a sense of urgency and accuracy.
  • Evaluates and determines compensability of workers' compensation claims within the statutory limits for multiple jurisdictions.
  • Must be able to work independently as well as part of a team.
  • Access to protected Health Information (PHI) to the extent of information necessary to do the job. Information shared only on a need-to-know basis.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.