Senior Workers Compensation Claims Specialist

Senior Workers’ Compensation Claims Adjuster Job Summary Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. The ideal candidate will possess strong litigation skills and the ability to manage claims of medium complexity and severity, including litigated files. This position offers the flexibility of a hybrid work environment (onsite Tuesdays and Wednesdays). Compensation Package Salary Range: $90,000 - $100,000 annually Employment Type: Full-time, Direct Hire Responsibilities Collaborate and communicate with agents, policyholders, and internal stakeholders on claims of medium complexity/severity. Investigate losses, identify coverage, determine compensability, and analyze documents and legal pleadings. Develop and execute action plans to proactively resolve claims, evaluate damages, negotiate settlements, and close claims in a timely manner. Establish and maintain accurate reserves for each claim to reflect financial exposure. Engage and manage external resources as needed to ensure proper claim resolution while controlling costs. Collaborate with legal counsel to manage litigated claims effectively. Review and interpret commercial insurance policies and communicate coverage issues clearly, both verbally and in writing. Qualifications/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 and certification in Arizona claims is required. Licensing to cover Arizona, Utah, Texas, and Colorado is mandatory. Familiarity with Guidewire (Claims Center) is preferred. AIC or SLA certification is a plus. Proficient in Microsoft Office Suite and other relevant computer skills. Strong analytical skills with exceptional attention to detail. Excellent verbal and written communication skills for interaction with internal and external stakeholders. Demonstrated ability to build positive relationships and partnerships across departments and with external customers.

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