Workers' Compensation Claim Adjuster

Overview Workers’ Compensation Claim Advocate (Adjuster) Location: Lisle, IL (Hybrid – In office 2x/month after training) Schedule: Monday–Friday, 8:00 AM to 4:30 PM CST Salary Range: $70,000 – $85,000 Client Support: Dedicated Client Account (Illinois Public Risk Fund) CCMSI is seeking the best and brightest talent to join the Illinois Public Risk Fund who is the largest Public Entity Workers’ Compensation pool in the State of Illinois. Illinois Public Risk Fund has a dedicated CCMSI claims team with a staff of 21 and their own dedicated office space. At CCMSI , we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Workers’ Compensation Claim Advocate position is responsible for the investigation and adjustment of assigned workers’ compensation claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of workers’ compensation claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust workers’ compensation claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated workers’ compensation claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of workers’ compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment…