Senior Workers' Compensation Claims Adjuster

About This Role

This role primarily focuses on providing quality investigation and analysis to adjust workers' compensation claims of medium complexity/severity, including litigated files. This position is responsible for collaborating with agencies, policyholders, and internal stakeholders to ensure proper resolution of claims in Arizona, Utah, Texas, and Colorado.

Responsibilities

• Collaborate and communicate with agents, policyholders, and internal stakeholders on claims of medium complexity/severity and book of business
• Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings
• Develop a plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines
• Establish and maintain proper reserves for each claim to accurately reflect the financial exposure
• Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs
• Collaborate with counsel to manage litigated claims
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing

Requirements

• 3 years of experience handling workers’ compensation indemnity claims of medium level of complexity/severity
• Ability to obtain appropriate state licensing as required
• Proficient computer skills including Microsoft Office Suite
• Expertise in Arizona, Utah, Texas, and Colorado workers' compensation claims

Qualifications

• Bachelor’s degree or equivalent combination of education
• 3 years of experience handling workers’ compensation indemnity claims of medium level of complexity/severity

Skills

* Required skills

Benefits

Certifications