WORKER'S COMPENSATION CLAIMS ADJUSTER (RISK MANGEMENT)

Full Time
Chicago, IL
$65,452 - $75,261 a year
Posted
Job description

Under the general direction of the Manager of Worker’s Compensation, receives and reviews documents and claims forms relative to workers’ compensation claims by Cook County employees to determine compensability. Contacts employee, employer and claimant’s physician to determine the extent of injury. Verifies medical records indicating changes in treatment. Calculates and authorizes the payment of lost wages by monitoring the employee’s time off. Authorizes medical bill payments. Authorizes all payments within the guidelines of the Illinois Worker’s Compensation Act, using appropriate cost containment vehicles. Monitors and maintains claim files (paper and computer files) until file resolution. Performs other duties as assigned.

There are multiple positions open.


Minimum Qualifications
  • High School Diploma or General Educational Development (GED) certificate is required.
  • Seven (7) years full-time work experience administering and adjusting Worker’s Compensation claims is required.

-OR-

  • Graduation from an accredited college or university with a Bachelor's Degree is required.
  • Three (3) years full-time work experience administering and adjusting Worker’s Compensation claims is required.

Preferred Qualifications

  • Graduation from an accredited college or university with an Associate in Claims and/or Associate in Risk Management designations.
  • Experience utilizing a claims management data system.

Candidates will be required to produce original required documents (e.g., current driver’s license, diploma, school transcript, certifications, etc.) listed on the Notice of Job Opportunity within five (5) days of being extended an offer, in writing, by the Bureau Chief of BHR (or designee).

  • Degrees awarded outside of the United States with the exception of those awarded in one of the United States’ territories and Canada, must be credentialed by either the World Education Services (WES) or Educational Credential Evaluators (ECE).

Knowledge, Skills, Abilities and Other Characteristics


Knowledge of the Worker’s Compensation Act of the State of Illinois.
Familiarity with the medical, legal and actuarial elements involved in processing and disposing of medical billing, insurance, Worker's Compensation and/or other claims in the State of Illinois.
Ability to understand the needs, rights and obligations of both the claimant and the employer in workers compensation claims processes.
Strong ability to review and utilize medical and legal materials to proactively manage claim files with the goal of timely and cost-effectively resolving claims.
Ability to learn and understand the interrelated elements pertaining to Worker's Compensation cases including Safety; Human Resources; fixed management; medical case management and investigations.
Good writing skills; ability to make well organized verbal presentations.
Strong math skills and comprehensive case financial assessment and reserve experience.
Proficient in the use of Microsoft Word, Excel and Access for purposes of manipulating and organizing data.
Ability to communicate in a clear and effective manner; ability to discuss and explain office policy and procedures to individuals and the ability to deal effectively with difficult situations involving irate individuals.
Excellent time management, decision-making and prioritizing skills.
This position may require moderate to extensive travel to work assignments throughout Cook County.

The duties listed are not set forth for purposes of limiting the assignment of work. They are not to be construed as a complete list of the many duties normally to be performed under a job title or those to be performed temporarily outside an employee's normal line of work.
VETERAN’S PREFERENCE
When applying for employment with Cook County Government, preference is given in the application process to honorably discharged Veterans who have served in the Armed Forces of the United States for more than 180 consecutive days, or during War Time. To take advantage of this preference a Veteran must:
  • MEET THE MINIMUM QUALIFICATIONS FOR THE POSITION.
  • IDENTIFY THEMSELVES AS A VETERAN ON THEIR EMPLOYMENT APPLICATION BY ANSWERING YES TO THE QUESTION “Are you a military veteran?”
  • ATTACH A COPY OF THEIR DD 214, DD 215 or NGB 22 (NOTICE OF SEPARATION) AT TIME OF APPLICATION FILING. IF YOU HAVE MULTIPLE DD 214S, 215S, OR NGB 22S, PLEASE SUBMIT THE ONE WITH THE LATEST DATE. COAST GUARD MUST SUBMIT A CERTIFIED COPY OF THE MILITARY SEPARATION FROM EITHER THE DEPARTMENT OF TRANSPORTATION (BEFORE 911) OR THE DEPARTMENT OF HOMELAND SECURITY (AFTER 911).

The Cook County Department of Veterans Affairs can assist you with obtaining a certified DD214 and having it recorded for you at no charge. Please contact veterans.affairs@cookcountyil.gov


VETERAN MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS AT TIME OF INTERVIEW.

Benefits Package
  • Medical, Dental, and Vision Coverage
  • Basic Term Life Insurance
  • Pension Plan and Deferred Compensation Program
  • Employee Assistance Program
  • Paid Holidays, Vacation, and Sick Time
  • You May Qualify for the Public Service Loan Forgiveness Program (PSLF)
http://www.cookcountyrisk.com/
  • Must be legally authorized to work in the United States without sponsorship.
  • This position requires successful completion of post-offer tests, which may include a background check, drug screen and medical examination.

Falsification of any information in the application process will result in disqualification, dismissal after hire, and/or placement on the County’s Ineligible for Rehire List for a period of two (2) or five (5) years. For current County employees, such falsification may result in discipline, up to and including termination, and placement on the County’s Ineligible for Rehire List for a period of two (2) or five (5) years. See Cook County Code of Ordinances, Article II, Sections 44-54 Unlawful Practices Relating to Employees and Employment - Penalty, 44-56 Political Discrimination; Cook County Employment Plan, Section V.N. Pre-Interview License and Certification Verification; Supplemental Policy No. 2014-2.13 Ineligible for Rehire List; and Cook County Personnel Rules 3.3(b) (7) (8) (18).

“The County’s hiring process is governed by the Cook County Employment Plan which prohibits employment actions from being influenced by any Political Reasons or Factors for Non-Exempt Positions. The advertisement of this position by any individual does not constitute an offer or promise of employment, promotion, or any other employment action and shall not influence the County’s hiring decision. Cook County officials and employees who become aware of or receive a complaint that involves an allegation of Political Reasons or Factors being considered in the hiring process of Non-Exempt positions are obligated to refer the complaint to the Cook County Compliance Officer. If the Cook County Compliance Officer sustains allegations of Political Reasons or Factors being considered, Cook County will disqualify the Applicant or Candidate from consideration for employment and disciplinary action will be imposed on any involved Cook County employees, if applicable.”

COOK COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER
NOTE: As an internal candidate, should you be offered the position, salary allocations shall abide by the Cook County Personnel Rules.

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