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Workers Compensation Claims Specialist

$60 - $80 per hour

TEKsystems

About the Opportunity We are seeking an experienced *Workers' Compensation Claims Specialist* to join a leading insurance organization. This is an excellent opportunity for a claims professional who thrives in a fast-paced environment and enjoys managing complex workers' compensation claims from investigation through resolution. The ideal candidate will have strong analytical abilities, excellent negotiation skills, and a solid understanding of workers' compensation claims handling practices. Key Responsibilities * Manage complex workers' compensation claims throughout the claim lifecycle. * Interpret policy coverages and determine claim applicability while escalating issues as needed. * Establish claim activities, maintain reserves, and authorize claim payments within authority limits. * Conduct investigations by working with insureds, claimants, witnesses, experts, and business partners. * Identify opportunities for early claim resolution and negotiate settlements effectively. * Recognize potential fraudulent activity and coordinate referrals to the Special Investigation Unit (SIU). * Coordinate subrogation and recovery opportunities with appropriate internal teams. * Partner with attorneys, underwriters, agents, medical providers, nurse case managers, and insureds to develop effective claim resolution strategies. * Maintain accurate claim documentation and ensure timely data entry. * Prepare reports, provide claim analysis, and communicate findings to management. * Stay current on industry trends, state regulations, and workers' compensation laws. * Provide guidance and support to other claims professionals as needed. Required Qualifications * Bachelor's degree or equivalent combination of education and experience. * 3+ years of workers' compensation claims experience. * California Workers' Compensation Certification required. * Strong knowledge of claims handling principles and insurance industry practices. * Experience managing complex claims and evaluating coverage issues. * Excellent communication, negotiation, and relationship-building skills. * Strong analytical and problem-solving abilities. * Ability to independently manage multiple priorities and deadlines. * Proficiency with Microsoft Office Suite and business-related software. * Ability to make sound business decisions and evaluate claims using cost-benefit analysis. * Strong written communication skills with the ability to prepare detailed claim reports. Preferred Qualifications * Professional insurance or claims designations. * Experience collaborating with legal counsel, medical professionals, and insurance partners. * Advanced knowledge of workers' compensation regulations and compliance requirements. *Job Type & Location*This is a Contract position based out of Chicago, IL. *Pay and Benefits*The pay range for this position is $60.00 - $80.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type*This is a hybrid position in Chicago,IL. *Application Deadline*This position is anticipated to close on Sep 4, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. *San Francisco Fair Chance Ordinance:* Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. *Massachusetts Lie Detector:* It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. *Use of Artificial Intelligence (AI):* We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Vacancy posted 4 days ago
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