Sr. Workers Compensation Claims Adjuster

Job Description

Senior Workers Compensation Claims Representative

Job Summary

Seeking a highly skilled and experienced Senior Workers Compensation Claims Representative to join a team. This role involves managing Workers Compensation claims from inception to resolution ensuring compliance with company standards and regulatory requirements. The ideal candidate will have a strong background in claims investigation litigation management and customer service with a focus on delivering exceptional results. This position offers a hybrid work schedule with three days per week in the office.

Compensation Package

• Salary: $85000 - $100000 per year bonus opportunities
• Competitive benefits package 401(k) paid time off professional development opportunities etc.

Responsibilities

• Manage a caseload of 100-125 Workers Compensation claims including litigated cases from inception to resolution.
• Conduct thorough investigations including obtaining statements records and other evidentiary materials.
• Evaluate and set accurate claim reserves to reflect potential exposure.
• Ensure compliance with regulatory and jurisdictional requirements.
• Provide clear and effective communication with customers claimants defense counsel and other stakeholders.
• Oversee and manage defense counsel independent adjusters and other third parties involved in claims.
• Maintain detailed documentation and reporting of all claims handling activities.
• Stay updated on industry regulations and best practices.
• Perform other duties as assigned.

Qualifications/Requirements

• Minimum of 5 years of experience handling Workers Compensation Lost Time/Indemnity claims including serious injury and litigated cases.
• Experience in claims investigation administration and litigation management.
• Knowledge of coverage reserving principles investigation and negotiation techniques.
• Licensed to handle Texas Workers Compensation claims (additional licenses in other states such as Mississippi are a plus).
• Experience in the construction forestry logging or oil and gas industries is a plus.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Excellent judgment negotiation and decision-making skills.
• Service-oriented with a commitment to providing prompt and effective customer service.
• Ability to travel as needed including potential overnight stays.

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