Job Description

Senior Workers’ Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. This position involves managing claims of medium complexity/severity, including litigated files, and requires strong analytical, communication, and negotiation skills.

Compensation Package

• Salary Range: $85,000 - $95,000 (with potential for higher compensation based on experience)
• Benefits:
  • Competitive base pay
  • Performance-based incentive pay
  • Comprehensive health and welfare benefits
  • Flexible work arrangements to promote work-life balance

Responsibilities

• Investigate and analyze Workers’ Compensation claims of medium complexity/severity, including litigated files.
• Collaborate and communicate with agents, policyholders, and internal stakeholders.
• Review and interpret commercial insurance policies to determine coverage and compensability.
• Develop and execute plans of action to proactively resolve claims, including timely evaluation of damages and negotiation of settlements.
• Establish and maintain accurate financial reserves for each claim.
• Engage and manage external resources, including legal counsel, to ensure proper claim resolution while controlling costs.
• Maintain compliance with state licensing requirements and company guidelines.

Qualifications/Requirements

• Education: Bachelor’s degree or equivalent combination of education and experience.
• Experience: Minimum of 3 years handling Workers’ Compensation indemnity claims of medium complexity/severity, with jurisdictional expertise in Colorado (certification and licensing required).
• Skills:
  • Strong litigation experience and ability to manage litigated claims.
  • Proficiency in Microsoft Office Suite and familiarity with Guidewire (Claims Center) preferred.
  • Excellent verbal and written communication skills.
  • Strong analytical skills and attention to detail.
  • Demonstrated ability to build positive relationships with internal and external stakeholders.
• Licensing: Ability to obtain and maintain appropriate state licensing as required.
• Travel: Ability to travel overnight up to 10% and daily between locations as needed.
• Equipment: Must have access to a personal computer.

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