New England Workers Compensation Claims Supervisor
About The Position
A well-established third-party administrator (TPA) is seeking an experienced workers’ compensation claims professional to support New England. This fully remote role involves independently managing a complex Vermont workers’ compensation caseload and delivering excellent service to the client and injured workers. The ideal candidate has strong knowledge of Vermont workers’ compensation statutes and experience handling litigated and complex claims from inception through resolution. The position supports a stable, long-term dedicated account and works with a collaborative, supportive claims leadership team. Compensation is $95,000–$110,000 per year, with annual bonus potential and a comprehensive benefits package.
Requirements
- At least 5 years of workers’ compensation claims adjusting experience in New England jurisdictions.
- Strong understanding of Connecticut, Maine, or Vermont workers’ compensation regulations and claims procedures.
- Experience handling complex and litigated claims.
- Strong organizational, analytical, and negotiation skills.
- Ability to manage a full caseload independently in a remote work environment.
- Active Connecticut adjuster license or ability to obtain one quickly.
Nice To Haves
- Prior experience working for a TPA or insurance carrier.
Responsibilities
- Manage a full caseload of New England workers’ compensation claims from inception to closure.
- Investigate claims thoroughly to determine compensability and appropriate reserves.
- Ensure claims comply 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 coordinating with nurse case managers when appropriate.
- Evaluate claims for settlement opportunities and participate in negotiations when necessary.
- Manage litigated claims in collaboration 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 service standards and KPIs.
Benefits
- Annual bonus potential
- Comprehensive benefits package
- Fully remote work environment
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
