Sr Workers Compensation Claims Adjuster
Core
Independently manage complex Pennsylvania workers' compensation claims from assignment through resolution, including investigation, reserve management, and litigation.
Role type
Senior Workers' Compensation Claims Adjuster
Builds
Claim resolution strategies and settlements for Pennsylvania workers' compensation cases
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Pennsylvania workers' compensation law expertise, complex indemnity claim management, settlement negotiation, reserve establishment, fraud investigation, return-to-work coordination
Preferred skills
Delaware workers' compensation experience, litigated claims experience, New Jersey workers' compensation experience
Technologies
Claims management systems, Microsoft Office
Responsibilities
Investigate claims and determine compensability; Review medical documentation and coverage; Establish and maintain appropriate reserves; Manage complex indemnity and litigated claims; Coordinate with defense counsel and medical providers; Monitor claim activity and maintain accurate documentation; Coordinate return-to-work efforts and identify cost containment opportunities
Seniority
Senior, hands-on IC