Senior Claims Adjuster, Workers Compensation
Core
Manage workers' compensation claims from setup to closure, focusing on high-dollar, complex cases and mitigating exposure.
Role type
Senior Claims Adjuster (Workers Compensation)
Builds
Favorable claim outcomes and efficient claim file management for small business customers
Domain
Insurance / Workers Compensation
Deliverable
client delivery
Required skills
claim adjudication, litigation management, reserve setting, statutory compliance, negotiation, complex case evaluation
Preferred skills
multi-jurisdictional experience, AI tool usage, mentoring
Technologies
G-Suite, Slack
Responsibilities
Independently handle all aspects of workers' compensation claims from set-up to closure; Evaluate and handle high dollar, high exposure, complex claims; Conduct timely 3-point contact investigation; Determine timely and accurate compensability decisions within statutory requirements; Set and adjust timely/accurate reserves within authority limits; Control legal activity with defense counsel through the litigation process while managing legal fees and costs; Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement; Serve as a point of contact for partner agents and customers to provide general claim guidance; Mentor junior adjusters
Seniority
Senior, hands-on IC
