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The Jonus Group logo
The Jonus Group

The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.

Senior Workers’ Compensation Claims Adjuster

Location

United States

Posted

106 days ago

Salary

0

No structured requirement data.

Job Description

Senior Workers’ Compensation Claims Adjuster

The Jonus Group

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description A well-established Third-Party Administrator (TPA) is seeking an experienced Senior Workers’ Compensation Claims Adjuster to join their team supporting New England accounts. This role is fully remote and requires a seasoned claims professional who can independently manage a complex Vermont workers’ compensation caseload while delivering excellent service to both the client and injured workers. - Manage a full caseload of New England workers’ compensation claims from inception to closure. - Investigate claims thoroughly to determine compensability and appropriate reserves. - Ensure all claims are handled in compliance with New England workers’ compensation laws and regulatory requirements. - Coordinate and communicate with injured workers, employers, medical providers, attorneys, and other stakeholders. - Establish and adjust reserves based on claim developments and exposure. - Direct medical management, including coordination with nurse case managers when appropriate. - Evaluate claims for settlement opportunities and participate in negotiations when necessary. - Manage litigated claims, working closely with defense counsel to develop strategies and control costs. - Maintain accurate claim documentation and provide timely claim updates to the client. - Deliver high levels of customer service to a dedicated client account while meeting all service standards and KPIs. Qualifications - 5+ years of Workers’ Compensation Claims Adjusting experience, with either MA, CT, NH, VT, ME, or RI claim handling required. - Strong understanding of New England Workers’ Compensation regulations and claims procedures. - Experience handling complex and litigated claims. - Prior experience working for a TPA or insurance carrier preferred. - Strong organizational, analytical, and negotiation skills. - Ability to manage a full caseload independently in a remote work environment. - Active adjuster license or ability to obtain quickly. Requirements - Strong knowledge of New England workers’ compensation statutes. - Proven experience handling litigated and complex claims. Benefits - Compensation: $80,000 - $95,000/year - Annual Bonus Potential - 100% Remote Work Environment - Comprehensive benefits package - Opportunity to support a stable, long-term dedicated account - Collaborative and supportive claims leadership team

Job Requirements

  • 5+ years of Workers’ Compensation Claims Adjusting experience, with either MA, CT, NH, VT, ME, or RI claim handling required.
  • Strong understanding of New England Workers’ Compensation regulations and claims procedures.
  • Experience handling complex and litigated claims.
  • Prior experience working for a TPA or insurance carrier preferred.
  • Strong organizational, analytical, and negotiation skills.
  • Ability to manage a full caseload independently in a remote work environment.
  • Active adjuster license or ability to obtain quickly.
  • Strong knowledge of New England workers’ compensation statutes.
  • Proven experience handling litigated and complex claims.

Benefits

  • Compensation: $80,000 - $95,000/year
  • Annual Bonus Potential
  • 100% Remote Work Environment
  • Comprehensive benefits package
  • Opportunity to support a stable, long-term dedicated account
  • Collaborative and supportive claims leadership team

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