Senior Workers Compensation Claims Adjuster - Midwest/West

The Jonus GroupOmaha, NE
5h$80,000 - $100,000

About The Position

About the Role: Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines. Compensation: $80,000 - $100,000/year (based on experience) Annual target bonus Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture Comprehensive benefits package including medical, dental, vision, 401(k), and PTO. Opportunities for career growth within a stable and respected insurance organization.

Requirements

  • 2+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
  • Strong knowledge of state workers’ compensation statutes and regulations.
  • Excellent communication, negotiation, and analytical skills.
  • Ability to manage a high-volume caseload effectively and independently.
  • State adjusting license(s) as required.

Responsibilities

  • Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
  • Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
  • Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
  • Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
  • Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
  • Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.

Benefits

  • Annual target bonus
  • Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
  • Comprehensive benefits package including medical, dental, vision, 401(k), and PTO.
  • Opportunities for career growth within a stable and respected insurance organization.
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