Senior New Mexico Workers Compensation Claims Adjuster

Oregon Workers Compensation Claims Adjuster

Seeking a highly skilled and experienced New Mexico Workers Compensation Claims Adjuster to join a team. This is a fully remote position; The ideal candidate will have a strong background in managing New Mexico workers compensation claims ensuring compliance with state statutes and administrative rules and delivering exceptional customer service.

• Salary: $80000 - $90000 per year
• Bonus: 5% annual target bonus
• Benefits: Comprehensive medical benefits package 401(k) with company match and more

• Manage a caseload of 90-100 New Mexico workers compensation claims ensuring compliance with state statutes and administrative rules.
• Conduct thorough investigations including recorded statements wage calculations compensability decisions and reserve evaluations.
• Coordinate medical treatment return-to-work efforts and vocational services as needed.
• Maintain accurate and timely documentation throughout the life of each claim.
• Collaborate with employers attorneys nurse case managers and medical providers to achieve efficient claim outcomes.
• Negotiate settlements and attend mediations or hearings when necessary.
• Ensure all regulatory timeframes and reporting requirements are met including 801/827 forms and 1502 filings.
• Handle multiple accounts and manage some litigation cases.

• Minimum of 5 years of experience handling New Mexico workers compensation claims.
• Experience handling claims in multiple jurisdictions is a plus
• Strong knowledge of NM workers compensation statutes and administrative rules.
• Excellent communication negotiation and organizational skills.
• Ability to work independently in a remote environment while managing a high-volume caseload.

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