Cook County Government
SENIOR WORKERS COMPENSATION CLAIMS ADJUSTER (DEPARTMENT OF RISK MANAGEMENT)
Cook County Government, Chicago, Illinois, United States, 60290
Senior Workers Compensation Claims Adjuster (Department of Risk Management)
Overview
Join to apply for the SENIOR WORKERS COMPENSATION CLAIMS ADJUSTER (DEPARTMENT OF RISK MANAGEMENT) role at Cook County Government.
Responsibilities
Receive and manage documents and claims forms relative to workers' compensation claims by employees to determine compensability.
Contact claimant and/or their attorney, employer, and claimant's physician to determine the extent of injury and determine compensability.
Verify medical records indicating changes in treatment.
Calculate and authorize the payment of lost wages by monitoring the claimant's time off.
Handle the processing of medical bill payments within the guidelines of the Illinois Workers' Compensation Act, using appropriate cost containment vehicles.
Monitor and maintain claim files until file resolution.
Authorize settlements within office authority.
Knowledge, Skills and Abilities
Knowledge of the Workers’ Compensation Act of the State of Illinois.
Familiarity with the medical, legal, and actuarial elements involved in processing and disposing of medical billing, insurance, Workers’ Compensation, or other claims in the State of Illinois.
Skill in using Microsoft Word, Excel, and Access for purposes of manipulating and organizing data.
Ability to communicate effectively in both verbal and written formats and ability to discuss and explain office policy and procedures to individuals and deal effectively with difficult situations involving irate individuals.
Ability to understand the needs, rights and obligations of both the claimant and the employer in workers’ compensation claims processes.
Ability to review and utilize medical and legal materials to proactively manage claim files with the goal of timely and cost-effective resolving of claims.
Minimum Qualifications
Graduation from an accredited college or university with a Bachelor's Degree and
Four (4) years of administering and adjusting Workers' Compensation claims or directly related experience or
An equivalent combination of education and/or experience is required
Physical Requirements Sedentary work involves exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.
Benefits
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)
For further information on our benefits package, please visit cookcountyrisk.com
The County has a hybrid work environment which allows employees telecommuting and flexible scheduling options.
Veteran’s Preference
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.
Candidates who are contacted 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). Candidates will be notified of how to submit the required document.
Degrees awarded outside of the United States except for 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).
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. Supplemental Policy No. 2014-2.13 Ineligible for Rehire List; and Cook County Personnel Rules 3.3(b) (7) (d).
This position requires successful completion of post-offer tests, which may include a background check, drug screen and medical examination.
Must be legally authorized to work in the United States without sponsorship.
NOTE: As an internal candidate, should you be offered the position, salary allocations shall abide by the Cook County Personnel Rules.
Please contact BHR.WorkforceStrategy@cookcountyil.gov for inquiries about this position
EEO Statement Cook County Government is an Equal Employment Opportunity (EEO) employer. Cook County prohibits illegal discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to race, color, sex, age, religion, disability, national origin, ancestry, sexual orientation, marital status, parental status, source of income, housing status, military service or discharge status, gender identity, genetic information, or any other protected category established by law, statute or ordinance as further defined in Chapter 44. Human Resources, Article II. Personnel Polices, Section 44-53 of the Cook County Code of Ordinances and Chapter 42. Human Relations, Article II. Human Rights, Section 42-35 of the Cook County Code of Ordinances.
Social Media Disclaimer 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 - Office of the Inspector General. If the Cook County Inspector General 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.
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Responsibilities
Receive and manage documents and claims forms relative to workers' compensation claims by employees to determine compensability.
Contact claimant and/or their attorney, employer, and claimant's physician to determine the extent of injury and determine compensability.
Verify medical records indicating changes in treatment.
Calculate and authorize the payment of lost wages by monitoring the claimant's time off.
Handle the processing of medical bill payments within the guidelines of the Illinois Workers' Compensation Act, using appropriate cost containment vehicles.
Monitor and maintain claim files until file resolution.
Authorize settlements within office authority.
Knowledge, Skills and Abilities
Knowledge of the Workers’ Compensation Act of the State of Illinois.
Familiarity with the medical, legal, and actuarial elements involved in processing and disposing of medical billing, insurance, Workers’ Compensation, or other claims in the State of Illinois.
Skill in using Microsoft Word, Excel, and Access for purposes of manipulating and organizing data.
Ability to communicate effectively in both verbal and written formats and ability to discuss and explain office policy and procedures to individuals and deal effectively with difficult situations involving irate individuals.
Ability to understand the needs, rights and obligations of both the claimant and the employer in workers’ compensation claims processes.
Ability to review and utilize medical and legal materials to proactively manage claim files with the goal of timely and cost-effective resolving of claims.
Minimum Qualifications
Graduation from an accredited college or university with a Bachelor's Degree and
Four (4) years of administering and adjusting Workers' Compensation claims or directly related experience or
An equivalent combination of education and/or experience is required
Physical Requirements Sedentary work involves exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.
Benefits
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)
For further information on our benefits package, please visit cookcountyrisk.com
The County has a hybrid work environment which allows employees telecommuting and flexible scheduling options.
Veteran’s Preference
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.
Candidates who are contacted 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). Candidates will be notified of how to submit the required document.
Degrees awarded outside of the United States except for 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).
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. Supplemental Policy No. 2014-2.13 Ineligible for Rehire List; and Cook County Personnel Rules 3.3(b) (7) (d).
This position requires successful completion of post-offer tests, which may include a background check, drug screen and medical examination.
Must be legally authorized to work in the United States without sponsorship.
NOTE: As an internal candidate, should you be offered the position, salary allocations shall abide by the Cook County Personnel Rules.
Please contact BHR.WorkforceStrategy@cookcountyil.gov for inquiries about this position
EEO Statement Cook County Government is an Equal Employment Opportunity (EEO) employer. Cook County prohibits illegal discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to race, color, sex, age, religion, disability, national origin, ancestry, sexual orientation, marital status, parental status, source of income, housing status, military service or discharge status, gender identity, genetic information, or any other protected category established by law, statute or ordinance as further defined in Chapter 44. Human Resources, Article II. Personnel Polices, Section 44-53 of the Cook County Code of Ordinances and Chapter 42. Human Relations, Article II. Human Rights, Section 42-35 of the Cook County Code of Ordinances.
Social Media Disclaimer 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 - Office of the Inspector General. If the Cook County Inspector General 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.
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