Workers’ Compensation Claim Advocate

  
CCMSI and the Illinois Public Risk Fund, the largest public entity workers' compensation pool in the state of Illinois, seek a Workers’ Compensation Claim Advocate to investigate, evaluate and adjust workers’ compensation claims in accordance with established claim handling standards and laws. Illinois Public Risk Fund has a dedicated CCMSI claims team with a staff of 21 and their own dedicated office space.
Essential Functions

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
  • 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
  • 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
  • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when
  • Assist in the selection, referral and supervision of designated workers’ compensation claim files sent to outside vendors. (i.e. legal, surveillance, case management, )
  • Review and maintain personal diary on claim
  • Assess and monitor subrogation claims for
  • Compute disability rates in accordance with state
  • Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the workers’ compensation claim adjustment
  • Provide notices of qualifying claims to excess/reinsurance
  • Compliance with Corporate Claim Handling Standards and special client handling instructions as
  • Performs other duties as


For more information, see the full job posting.

To apply for this position, visit: https://www.ccmsi.com/careers/


Posted: 2/9/21


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