Workers Compensation Claims Adjuster (Northeast Jurisdictions)
Location: Work from Home
Who says you can't have it all? Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and exciting position with NO commute! You will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.).
As a Work Comp Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. The ideal candidate will have excellent communication and negotiation skills, be detail-oriented, and possess a strong understanding of workers compensation laws and regulations. You will be communicating with a wide variety of individuals, to include CEO's, claimants, providers offices, and attorneys. Experience handling claims in multiple jurisdictions is vital for success in this role.
Qualifications:
Minimum of 1 year experience as a workers compensation claims adjuster.License/state experience in the Northeast states.Demonstrated knowledge of workers compensation laws and regulations.Strong analytical and problem-solving skills.Excellent communication and negotiation skills.Ability to work independently and in a team environment.Strong organizational and time-management skills.Proficiency in computer programs, including Microsoft Office and claims management software.If you are looking for a position that will allow you to stay in claims, continue to grow in your career, and also have the flexibility that working from home allows, this is the position for you. We will provide your office equipment and IT support, as well as training and support from our home office.
If this sounds like a good fit to your career and life goals, we'd love to talk!
Pay & Benefits
Salary – Flexible based on your experience level.Most Benefits start Day 1Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/ Defined Contribution (1-year waiting period)PTO/ Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/ Parental LeaveCompany-paid Term Life/ Accidental Death InsuranceCottingham & Butler
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn
Read LessRN Case Manager
Location: Onsite in Dubuque, IA.
We are seeking a compassionate and detail-oriented RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
Key Responsibilities:
Provide telephonic case management and utilization review for assigned consumers.Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.Collaborate with healthcare providers, payors, and internal teams to coordinate care.Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.Track and report case outcomes, including cost savings and quality improvements.Qualifications:
Education: RN licensure in the State of Iowa required. BSN or higher preferred.Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.Full-Time Benefits - Most benefits start day 1
Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/Defined Contribution (1-year waiting period)PTO/Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/Parental LeaveSubsidized ParkingCompany-paid Term Life/Accidental Death InsuranceAbout Cottingham & Butler:
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Read LessRN Case Manager
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
We are seeking a compassionate and detail-oriented RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
Key Responsibilities:
Provide telephonic case management and utilization review for assigned consumers.Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.Collaborate with healthcare providers, payors, and internal teams to coordinate care.Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.Track and report case outcomes, including cost savings and quality improvements.Qualifications:
Education: RN licensure in the State of Iowa required. BSN or higher preferred.Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.Full-Time Benefits - Most benefits start day 1
Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/Defined Contribution (1-year waiting period)PTO/Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/Parental LeaveSubsidized ParkingCompany-paid Term Life/Accidental Death InsuranceAbout Cottingham & Butler:
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Read LessSISCO, a Cottingham & Butler company, is a leading third-party benefit administration firm dedicated to maximizing the value of employee benefits for our clients. We pride ourselves on delivering an effective, yet human, experience by hiring the best employees and equipping them with the best technology. Our company thrives on driven, ambitious individuals like you.
The SISCO Account Manager serves as the primary point of contact for assigned brokers and clients, ensuring their inquiries are addressed promptly and accurately. This role requires close collaboration with internal departments within SISCO, including Customer Service, Implementation, and Enrollment, to provide high-quality service and facilitate the effective handling of client requests, including standard and non-standard reporting needs.
Essential Functions:
1. Deliver exceptional service to clients, including prompt responses to inquiries, analysis of plan performance, regular review sessions, and implementation of innovative strategies as appropriate.
2. Facilitate the renewal process for various coverage types, ensuring all associated reporting is completed and delivered to relevant parties at least 90+ days prior to client renewal.
3. Act as the central gatekeeper for all information pertaining to client renewals or mid-year changes, distributing collected information to relevant departments (e.g., Accounting, Admin staff, Stop Loss, Customer Service) and addressing any additional information needs.
4. Lead virtual and in-person meetings with clients and/or brokers to provide Open Enrollment support and collaborative renewal discussions.
Specific Skills:
• Strong verbal and written communication skills.
• Proficiency in Excel.
• High responsiveness to client inquiries.
• Ability to develop and deliver presentations in group settings.
• Strong interpersonal skills to build trust-based relationships with clients.
• Excellent problem-solving and cost-analysis abilities.
• Ability to work effectively with teammates and demonstrate professionalism in language and behavior.
About SISCO:
SISCO was established in 1980 as a boutique third-party administrator dedicated to the administration of unique, complex plan designs. Today, SISCO is recognized as a premier third-party administrator for employee benefits, serving 600+ employers and 1,000,000+ members from our headquarters in Dubuque, IA.
For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry trends in the wrong direction. The result is a lower standard of prudent review and ever-increasing costs. Our strategy is to simply administer employer plans with the same care, diligence, and expertise we apply to our own benefit program. Learn more at www.siscobenefits.com
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Read LessBilingual RN Case Manager
Location: Onsite in Dubuque, IA.
We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment. This role is based in our Dubuque office and is also available remotely.
Key Responsibilities:
Provide telephonic case management and utilization review for assigned consumers.Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.Collaborate with healthcare providers, payors, and internal teams to coordinate care.Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.Track and report case outcomes, including cost savings and quality improvements.Qualifications:
Bilingual: the ability to speak SpanishEducation: RN licensure in the State of Iowa required. BSN or higher preferred.Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.Full-Time Benefits - Most benefits start day 1
Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/Defined Contribution (1-year waiting period)PTO/Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/Parental LeaveSubsidized ParkingCompany-paid Term Life/Accidental Death InsuranceAbout Cottingham & Butler:
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Read LessWorkers Compensation Claims Adjuster (California Experience Required)
Location: Remote (Must be located in California)
Who says you can't have it all? Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and exciting position without the commute! This is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.).
As a Workers Compensation Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. The ideal candidate will have excellent communication and negotiation skills, be detail-oriented, and possess a strong understanding of workers compensation laws and regulations. You will be communicating with a wide variety of individuals, including CEOs, claimants, providers offices, and attorneys.
Qualifications:
Minimum of 1 year experience as a workers compensation claims adjuster.License/state experience in California and your SIP.Demonstrated knowledge of workers compensation laws and regulations.Strong analytical and problem-solving skills.Excellent communication and negotiation skills.Ability to work independently and in a team environment.Strong organizational and time-management skills.Proficiency in computer programs, including Microsoft Office and claims management software.If you're looking to continue building your career in claims while enjoying the flexibility of working from home, this is a great opportunity. We provide office equipment and ongoing training and support from our home office. If this sounds like a good fit to your career and life goals, we'd love to talk!
The salary range is $50,000-$100,000. Pay is based on several factors including but not limited to location, education, work experience, certifications, etc.
Do you think this might be a fit for you? Send us your resume – we'd love to talk!
Cottingham & Butler
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn
Read LessWorkers Compensation Claims Adjuster (California Experience Required)
Location: Remote (Must be located in California)
Who says you can't have it all? Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and exciting position without the commute! This is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.).
As a Workers Compensation Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. The ideal candidate will have excellent communication and negotiation skills, be detail-oriented, and possess a strong understanding of workers compensation laws and regulations. You will be communicating with a wide variety of individuals, including CEOs, claimants, providers offices, and attorneys.
Qualifications:
Minimum of 1 year experience as a workers compensation claims adjuster.License/state experience in California and your SIP.Demonstrated knowledge of workers compensation laws and regulations.Strong analytical and problem-solving skills.Excellent communication and negotiation skills.Ability to work independently and in a team environment.Strong organizational and time-management skills.Proficiency in computer programs, including Microsoft Office and claims management software.If you're looking to continue building your career in claims while enjoying the flexibility of working from home, this is a great opportunity. We provide office equipment and ongoing training and support from our home office. If this sounds like a good fit to your career and life goals, we'd love to talk!
The salary range is $50,000-$100,000. Pay is based on several factors including but not limited to location, education, work experience, certifications, etc.
Do you think this might be a fit for you? Send us your resume – we'd love to talk!
Cottingham & Butler
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn
Read LessCottingham & Butler Claims Services (CBCS) was built upon driven, ambitious people like yourself. "Better Every Day" is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to hire an experienced Midwest Work Comp Claims Supervisor to our team. We are looking for someone who is eager to motivate and develop adjusters of all levels. If you're ready to make a significant impact and drive excellence, we want to hear from you!
Key Expectations for the Claims Supervisor Role:
Accountability and Feedback: Ensure that the team receives regular, high-quality feedback to drive accountability.Team Metrics: Maintain weekly metrics in the green. If a team member is not meeting expectations, develop and document plans with the Claims Manager to improve performance.Quality Service Review (QSR) Scores: Achieve monthly QSR scores of 90%+ for the team and address any underperformance with actionable plans.Monthly Meetings: Arrange monthly meetings with the team to align on goals, discuss challenges, provide training, and foster collaboration.Customer Service Survey Scores: Maintain an average score of 1.30 or less. Use survey results as coaching opportunities and ensure follow-up discussions.Mentorship and Teammate Development: Act as a mentor and actively contribute to developing your team of adjusters.Experience Requirements:
The ideal candidate must have substantial experience in the Midwest region and possess a strong background in achieving results. We are looking for a critical thinker who is eager to collaborate with other like-minded professionals to drive growth and strengthen our business. A minimum of 1-5 years of claims supervision is required.
Do you think this might be a fit for you? Send us your resume – we'd love to talk!
Pay & Benefits
Salary – Flexible based on your experience level.Most Benefits start Day 1Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/ Defined Contribution (1-year waiting period)PTO/ Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/ Parental LeaveCompany-paid Term Life/ Accidental Death InsuranceAbout the company
At Cottingham & Butler Claims Services, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients.
These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenges. Secondly, we pride ourselves on serving our clients' best interests through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success.
As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger – growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Read LessUtilization Management Assistant
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!
The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.
Preferred Skills
Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providersCustomer Service - Friendly demeanor and understanding to be able to relay sensitive information to membersDetail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plansQualifications:
CNA, LPN, or Medical Assistant preferredBackground in patient health support or care 1+ years of experience within this fieldFull-Time Benefits - Most benefits start day 1
Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/Defined Contribution (1-year waiting period)PTO/Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/Parental LeaveSubsidized ParkingCompany-paid Term Life/Accidental Death InsuranceAbout Cottingham & Butler:
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Read LessUtilization Management Assistant
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!
The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.
Preferred Skills
Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providersCustomer Service - Friendly demeanor and understanding to be able to relay sensitive information to membersDetail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plansQualifications:
CNA, LPN, or Medical Assistant preferredBackground in patient health support or care 1+ years of experience within this fieldFull-Time Benefits - Most benefits start day 1
Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/Defined Contribution (1-year waiting period)PTO/Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/Parental LeaveSubsidized ParkingCompany-paid Term Life/Accidental Death InsuranceAbout Cottingham & Butler:
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Read Less