Job Description
Senior Workers’ Compensation Claims Adjuster
Job Summary
Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. The ideal candidate will possess strong litigation skills and the ability to manage claims of medium complexity and severity, including litigated files. This position offers the flexibility of a hybrid work environment (onsite Tuesdays and Wednesdays).
Compensation Package
- Salary Range: $90,000 - $100,000 annually
- Employment Type: Full-time, Direct Hire
Responsibilities
- Collaborate and communicate with agents, policyholders, and internal stakeholders on claims of medium complexity/severity.
- Investigate losses, identify coverage, determine compensability, and analyze documents and legal pleadings.
- Develop and execute action plans to proactively resolve claims, evaluate damages, negotiate settlements, and close claims in a timely manner.
- Establish and maintain accurate reserves for each claim to reflect financial exposure.
- Engage and manage external resources as needed to ensure proper claim resolution while controlling costs.
- Collaborate with legal counsel to manage litigated claims effectively.
- Review and interpret commercial insurance policies and communicate coverage issues clearly, both verbally and in writing.
Qualifications/Requirements
- Bachelor’s degree or equivalent combination of education and experience.
- Minimum of 3 years of experience handling workers’ compensation indemnity claims of medium complexity/severity.
- Jurisdictional expertise and certification in Arizona claims is required.
- Licensing to cover Arizona, Utah, Texas, and Colorado is mandatory.
- Familiarity with Guidewire (Claims Center) is preferred.
- AIC or SLA certification is a plus.
- Proficient in Microsoft Office Suite and other relevant computer skills.
- Strong analytical skills with exceptional attention to detail.
- Excellent verbal and written communication skills for interaction with internal and external stakeholders.
- Demonstrated ability to build positive relationships and partnerships across departments and with external customers.
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