Full-Time

Workers' Compensation Claims Adjuster

Posted on 1/21/2025

One80 Intermediaries

One80 Intermediaries

Consulting
Financial Services
Healthcare

Compensation Overview

$51k - $74kAnnually

+ Bonus

Mid

Remote in USA

Category
Insurance
Finance & Banking
Requirements
  • Minimum 3 years of experience in handling medical, lost-time, and litigated Workers' Compensation claims in an insurance environment or TPA.
  • In-depth understanding of applicable Illinois Workers' Compensation laws and regulations.
  • Solid knowledge of medical terminology.
  • Ability to conduct thorough research and analyze complex information.
  • Strong verbal and written communication skills, with the ability to convey information clearly and concisely.
  • Ability to work independently with self-initiative.
  • Excellent time management, organizational skills, and the ability to prioritize issues and tasks.
  • Proficiency in Microsoft Windows environment and related software tools.
Responsibilities
  • Confirm coverage and determine compensability on all losses.
  • Investigate all new cases assigned in a timely and thorough manner.
  • Make necessary contacts within 24 hours of assignment.
  • Outline facts of each case and formulate a strategy to bring the file to conclusion.
  • Maintain accurate and timely diary entries for all assigned files.
  • Set and maintain timely and accurate reserves on all assigned claims.
  • Calculate and provide accurate disability benefits within regulatory guidelines.
  • Negotiate and settle claims within designated authority.
  • Identify subrogation opportunities and pursue reimbursement accordingly.
  • Assist with claim reviews or presentations to the board as needed.
  • Ensure timely and accurate claims payments.

Company Stage

N/A

Total Funding

N/A

Headquarters

Toronto, Canada

Founded

2007

Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion into Oregon taps into a growing real estate market.
  • The Longshore and Harbor Program targets a growing maritime workers' compensation market.
  • $1bn financing from Golub Capital supports growth through M&A and organic expansion.

What critics are saying

  • Increased competition in specialty insurance may impact One80's market share.
  • Rapid tech advancements could challenge One80's AI risk management capabilities.
  • Economic uncertainty may reduce demand for some of One80's insurance products.

What makes One80 Intermediaries unique

  • One80 Intermediaries offers unique AI warranty coverage for tech companies.
  • Stella Maris is a pioneering insurance product for watercraft rental businesses.
  • The $30m liability insurance for CROs addresses a niche corporate restructuring market.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Paid Vacation

Paid Sick Leave

Paid Holidays