Workers Compensation Claims Adjuster - MD, VA, PA

The Jonus Group•Richmond, VA

13h•$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.