Senior Workers Compensation Claims Adjuster (department Of Risk Management) at Cooks County Government

Posted in General Business 10 days ago.

Type: Full-Time
Location: Chicago, Illinois





Job Description:

Job Summary
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. Minimum Qualifications

• Graduation from an accredited college or university with a Bachelor's Degree
• Four (4) years of administering and adjusting Worker's Compensation claims or directly related experience or
• An equivalent combination of education and/or experience.

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 required documents.

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.

*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 the World Education Services (WES), Educational Credential Evaluators (ECE) or a National Association of Credential Evaluation (NACES) member organization.

KNOWLEDGE, SKILLS, ABILITIES AND OTHER CHARACTERISTICS

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-effectively resolving claims.

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.

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)

For further information on our excellent benefits package, please click on the following link:

http://www.cookcountyrisk.com/

The County has a hybrid work environment which allows employees telecommuting and flexible scheduling options.

*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) (d)

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.

NOTE: As an internal candidate, should you be offered the position, salary allocations shall abide by the Cook County Personnel Rules.

*Must be legally authorized to work in the United States without sponsorship.

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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