Work Comp Claims Adjuster

<p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">**Looking for someone with wage loss experience in the states of  IL/MI/IN**</span></strong></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">This position has the ability to work remotely</span></strong></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Summary:  </span></strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Under general supervision and following standard procedures with independent judgment, investigates, evaluates and resolves/disposes of workers compensation claims to determine the extent of company liability; may include determination and evaluation of coverage, compensability, and liability in accordance with policy provisions by performing the following duties.</span></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;"> </span></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Essential Duties and Responsibilities:</span></strong></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;"> </span></p> <ol style="margin-bottom: 12pt; margin-top: 0px;"> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Follows corporate policies, procedures, and fair claims handling practices </span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Investigates claims to determine validity and extent of liability, including:</span> <ol style="list-style-type: lower-alpha; margin-top: 0in; margin-bottom: 12pt;"> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others</span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Reviews and evaluates documentation, including applications, reports, and statements</span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Monitors appropriate claim outcomes through self-audit process</span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues</span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Ensures legal, regulatory and fair claims handling compliance</span></li> </ol> </li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Sets or recommends reserves based on results of claim investigation.</span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.</span></li> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">May provide extensive interaction with insureds, agents, claimants, attorneys, and other service providers, including:</span> <ol style="list-style-type: lower-alpha; margin-top: 0in; margin-bottom: 12pt;"> <li style="margin: 0in 0in 12pt 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Conducts in-depth interviews and/or scene inspections</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Attends settlement conferences and/or trials</span></li> </ol> </li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">May serve as a member of project teams, contributing to the achievement of project objectives.</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Performs other duties as assigned.</span></li> </ol> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;"> </span></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Qualifications:</span></strong></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</span></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;"> </span></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Education/Experience:</span></strong></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt; font-family: 'Times New Roman', serif;">Level 4:   Two to four years related experience and/or training; or associate's degree (A.A.) from two-year college/technical school; or equivalent combination of education and related experience/training.</span></p> <p style="margin: 0in 0in 8pt; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p><div> <div><span style="color: #595959; font-family: 'Open Sans'; font-size: 14.6667px; background-color: #ffffff;">A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.</span></div> </div> <!--_dfFormat_=html-->