Senior WC Claims Adjuster

The Jonus GroupFarmington Hills, MI
5h$36 - $42Hybrid

About The Position

Senior Workers’ Compensation Claims Adjuster Job Summary Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. This is a hybrid role requiring onsite presence two days a week at one of the office locations. The ideal candidate will have jurisdictional expertise and experience handling Workers’ Compensation claim. This position involves managing claims of medium complexity/severity, including litigated files, and requires strong analytical and communication skills. Compensation Package Hourly Pay : $36 - $40/hour (up to $42/hour for highly qualified candidates) Employment Type : Temp-to-hire Duration : Minimum of 30 days, with potential for extension to 90 days or more

Requirements

  • Bachelor’s degree or equivalent combination of education and experience.
  • Minimum of 3 years of experience handling Workers’ Compensation indemnity claims of medium complexity/severity.
  • Jurisdictional expertise in Arizona claims is required, along with licensing in Arizona.
  • Experience handling claims in Utah, Texas, and Colorado, with strong litigation skills.
  • Proficiency in Microsoft Office Suite and familiarity with Guidewire (Claims Center) is preferred.
  • Strong analytical skills, attention to detail, and the ability to build positive relationships with internal and external stakeholders.
  • Excellent verbal and written communication skills.
  • Must have access to a personal computer.

Nice To Haves

  • AIC or SLA certification is preferred.
  • Proficiency in Microsoft Office Suite and familiarity with Guidewire (Claims Center) is preferred.

Responsibilities

  • Investigate and analyze Workers’ Compensation claims of medium complexity/severity, including litigated files, to ensure proper resolution.
  • Collaborate and communicate effectively with agents, policyholders, and internal stakeholders.
  • Review and interpret commercial insurance policies to determine coverage and communicate findings.
  • Develop and execute action plans to resolve claims, evaluate damages, and negotiate settlements in a timely manner.
  • Establish and maintain accurate reserves for each claim to reflect financial exposure.
  • Engage and manage external resources as needed to achieve optimal claim resolutions while controlling costs.
  • Work closely with legal counsel to manage litigated claims.
  • Utilize Guidewire (Claims Center) software for claims management, if applicable.
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