Job Summary:

The Senior Workers’ Compensation Adjuster independently manages a caseload of moderate to highly complex workers’ compensation claims, including complex litigated, high-exposure, and significant catastrophic claims, from investigation through resolution and closure.

This is a remote opportunity that requires an active Delaware Adjuster license, supporting Delaware, West Virginia, District of Columbia, Maryland and New Jersey jurisdictions.

Responsibilities:

• Investigate claims and make timely compensability decisions.
• Manage complex litigated, high-exposure, and catastrophic claims, including coordination with defense counsel and other specialized resources.
• Manage medical treatment, disability, return-to-work, and indemnity benefits.
• Establish and maintain accurate reserves based on current and anticipated claim exposure.
• Develop and execute action plans to move claims toward appropriate resolution.
• Evaluate settlement opportunities and negotiate within assigned authority.
• Maintain timely communication with injured workers, employers, clients, attorneys, and medical providers.
• Ensure compliance with state requirements, client instructions, and company best practices.
• Identify and promptly escalate significant developments and changes in exposure.
• Provide technical guidance and support to less-experienced adjusters as needed.

Qualifications

• 5+ years of workers’ compensation claims experience required.
• Active Delaware Adjuster License required.
• Demonstrated experience handling complex, litigated, catastrophic, and high-exposure claims.
• Strong knowledge of workers’ compensation regulations, reserving, medical management, litigation, and settlements.
• Strong organizational, communication, negotiation, and decision-making skills.
• Multi-state experience and applicable adjuster licenses preferred.

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Pay Details:

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.