Job Description Summary
Seeking an experienced Workers' Compensation Claims Specialist to independently manage a caseload of complex workers' compensation claims. This individual will be responsible for investigating claims, analyzing coverage, setting reserves, coordinating with attorneys and medical professionals, negotiating settlements, managing litigation, and driving timely, cost-effective claim resolution. This role requires strong California workers' compensation experience and the ability to handle claims with minimal supervision.
-Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
-Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses.
-Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts.
-Utilizes negotiation skills to develop complex settlement packages.
-Partners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.
-Analyzes claims activities. Prepares and presents reports for management.
-Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
-May provide guidance and assistance to other claims staff and functional areas.
-Keeps current on state/territory regulations and issues as well as industry activity and trends.
Top Skills Details
Additional Skills & Qualifications
Experience handling:
o Lost-time claims
o Complex claims investigations
o Reserve setting and management
o Settlement negotiations
o Litigated claims
Experience working with:
o Attorneys
o Medical providers
o Nurse case managers
o Insureds and claimants
Preferred Skill Details:
Carrier or TPA experience
Multi-state workers' compensation claims experience
Bachelor's degree
Prior mentoring or coaching experience
Advanced settlement and litigation management experience
Job Type & LocationThis is a Contract position based out of Downers Grove, IL.
Pay and BenefitsThe pay range for this position is $40.00 - $50.00/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)
Job Type & LocationThis is a Contract position based out of Downers Grove, IL.
Application DeadlineThis position is anticipated to close on Oct 30, 2026.
Workplace TypeThis is a hybrid position in Downers Grove,IL.
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.
Were 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. Were 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. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were 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.
...professional Forester which may include: timber inventory assistance on private nonindustrial land; participation in tree seed collection, lifting and planting tree seedlings; forestry education and environmental education program information for the public and private...
Job Title: After School / Holiday / Summer School-Age Childcare TeacherJob Description:We are seeking a caring, responsible, and energetic Teacher to support the development and well-being of children in our after-school program children. The teacher will be responsible...
...and the countrys largest private water operator and technology provider as well as hazardous... ...--Saturda y The Third Shift Thermal Plant Operator is primarily responsible for... ...Experience using basic hand tools and/or power tools to assist with completing repairs....
...Responsibilities The Department of Ophthalmology at Mayo Clinic in Rochester, MN is seeking a board-eligible/board-certified optometrist to join our established academic practice. This position within the team will cover clinical care of patients, comprehensive eye...
...locating, etc.) Performs cycle counts and checks inventory daily Checking in and posting parts orders to the correct space Shipping orders (FedEx, UPS, delivery drivers, etc.) Essential Job Functions:~Ability to read and pick part numbers ~ Valid Drivers...