New England Workers Compensation Claims Adjuster
About The Position
A well-established third-party administrator (TPA) is seeking an experienced Senior Workers’ Compensation Claims Adjuster to support New England. This fully remote role requires independently managing a complex Vermont workers’ compensation caseload and providing excellent service to the client and injured workers. The successful candidate will have strong knowledge of Vermont workers’ compensation statutes, experience handling complex and litigated claims, and the ability to manage claims from inception through resolution. Compensation is $80,000–$95,000 per year, with annual bonus potential. The role supports a stable, long-term dedicated account and a collaborative, supportive claims leadership team.
Requirements
- At least 5 years of workers’ compensation claims adjusting experience within 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 independently manage a full caseload in a remote work environment.
- Active Connecticut adjuster license or ability to obtain one quickly.
Nice To Haves
- Prior experience working for a third-party administrator 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.
- Handle claims in compliance 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 and work closely 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
- Opportunity to support a stable, long-term dedicated account
- Collaborative and supportive claims leadership team
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
