Adjuster, Workers' Comp

Jeffco Public Schools; Colorado; On-site; USD 78,730,000 - 99,552,000; Full time

Job summary

Jeffco Public Schools in Jefferson County, Colorado, seeks an Adjuster, Workers' Comp in a full-time, 1.0 FTE role. The position handles workers' compensation claims from initial report to resolution, ensuring accurate records and compliance with Colorado DOWC rules.

Requires 3 years of claims adjusting experience, a high school diploma, and ARM/ARM-P preferred. The district offers competitive compensation and a fingerprinting prerequisite for new hires.

Qualifications

• 3 years of experience in workers' compensation claims adjusting.
• High School diploma required; Associate's degree or higher preferred.
• ARM or ARM-P certifications preferred.
• Knowledge of Colorado DOWC regulations and forms.

Responsibilities

• Process workers' compensation claims from initial report through resolution.
• Determine compensability within guidelines and calculate benefits.
• Maintain accurate claim records and provide timely updates to stakeholders.
• Use RMIS to manage claim status, notes, and action plans.
• Coordinate medical appointments and evaluate need for IMEs.
• Communicate with injured workers, HR Partners, and payroll regarding status.
• Assist with settlements within authority and escalate as needed.

Skills

Workers' comp claims

RMIS systems

Regulatory knowledge

Communication skills

Education

High School degree

Associate's degree or higher preferred

Job description

Jeffco Public Schools (Jeffco) is located in Jefferson County, Colorado. It is the second largest school district in Colorado serving 69,000 students across 155 schools. With 14,000 employees, the district is the largest employer in Jefferson County and has provided educational excellence for more than 70 years.

Jeffco embraces the spirit of the West and the natural beauty of the Rocky Mountain region with the county spanning more than 770 square miles running the length of the western edge of the Denver metropolitan area. The district is diverse in both population and geography, from urban to rural, including the mountain communities in the foothills west of Denver.

Overall, Jeffco has 31% of students that qualify for free and reduced lunch, an indicator of poverty, and 34% minority (25% Hispanic) student population. The district is implementing a new strategic plan, Jeffco Thrives 2025 that is focused on providing a world‑class education that prepares all Jeffco students for bright and successful futures as local and global citizens. Come join us!

Jeffco Public Schools is a Single-State Employer. All candidates hired by Jeffco Public Schools must reside within the state of Colorado.

HOURS AND DAYS WORKED

Desired Start Date: 09/28/2026
Adjuster, Workers' Comp
Monthly Position
FLSA: Nonexempt
FTE: 1.00000 , Hours/Day: 8.000 , Days/Year: 246
Salary Plan, Grade, Step: CSE - Class Emp-246 / 1.FTE , R23, 1
Pay Range: $29.04 - $36.72 Effective as of: 08-16-2025

Compensation schedules for Jeffco Schools can be found here. Starting salary for non-licensed roles is based on the candidate's relevant work experience and education. Additional considerations may be given for job-specific certifications and skills. Applicants should submit all relevant and verifiable education, training and work experiences at the time of application. Starting Salary for licensed educators is based on the step and lane schedule found here.

PRE-EMPLOYMENT REQUIREMENT

The successful new hire or rehired candidate will be responsible to complete and incur the fingerprinting and processing fee of $57.50 through an appropriate fingerprinting vendor and the Colorado Bureau of Investigation, within 48 hours of offer acceptance.

RESPONSIBILITIES

SUMMARY

Processes workers' compensation claims from initial report through resolution. Determines compensability within established guidelines, calculates benefits such as lost wages, and coordinates routine claim activities. Maintains accurate claim records and provides timely updates to employees and internal stakeholders. Supports prompt, compliant, and consistent claim handling to ensure injured employees receive appropriate benefits while helping the District manage costs and maintain a safe, productive work environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Gather initial loss information, including contact and demographic information. Investigate mechanism of injury and evaluate compensability and insurance coverage. Interview injured workers, supervisors, and third-party witnesses as part of investigation.
• Ensure appropriate reserves are set. Review reserve recommendations with supervisor when exceeding authority limit.
• Use the risk management information system (RMIS) to manage claim status, progress notes, and action plans. Leverage system capabilities to provide automated notifications where appropriate and to conduct analysis on trends and areas of focus.
• Perform claims adjustment in a collaborative and responsive manner, ensuring that internal stakeholders receive regular updates and communication that help them understand the process and potential outcomes.
• Complete and submit appropriate state forms following the Colorado Division of Workers' Compensation (DOWC) regulations in a timely fashion.
• Determine reasonable and necessary medical treatment and lost time payments. Evaluate need for and schedule independent medical exams (IMEs) and division independent medical exams (DIMEs) based on progression of recovery and medical treatment. Refer records reviews and Nurse Case Managers (NCMs) to claims as necessary.
• Provide support to injured workers', their managers, and HR Partners, including regarding work status - phrasing. Communicate off work statuses with leaves and payroll. Calculate average weekly wage (AWW) and issue indemnity payments as required by Colorado DOWC.
• Evaluate need for and assign social media checks, physical surveillance, SIU involvement, etc. Determine when claims may need to be assigned to defense counsel. Direct discovery and litigation process with counsel for the best resolution possible.
• Evaluate claims for potential settlement. Work to resolve claims within authority when possible and review with supervisor when value exceeds authority.
• Retain and maintain working knowledge of District's insurance policies; federal, state, and local laws related to insurance claims; District policies; and employee contracts and agreements by obtaining and reading periodicals and state legislature acts.
• Perform other duties as assigned.

REQUIREMENTS EXPERIENCE

• 3 years of experience in workers' compensation claims adjusting.

EDUCATION AND TRAINING

• High School degree required. Additional college coursework equivalent to an Associate's Degree or higher preferred.

CERTIFICATES, LICENSES, OR REGISTRATIONS

• None required. ARM (Associate in Risk Management), ARM-P (Associate in Risk Management for Public Entities) certifications preferred.

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge of Colorado Division of Workers' Compensation (DOWC) basic regulations, required forms, and standard filing deadlines. Knowledge of District insurance policies and the fundamental components of workers' compensation coverage and compensability. Knowledge of basic medical and insurance terminology used to process treatment requests, calculate average weekly wages, and identify the need for medical exams. Knowledge of the administrative steps and document preparation required for claims litigation. Skilled in the technical operation of Risk Management Information Systems (RMIS) for data entry, note-taking, and generating status reports. Skilled in gathering and verifying demographic data, contact information, and initial injury reports from various parties. Skilled in performing accurate mathematical calculations for indemnity payments and tracking reserve levels against authority limits. Skilled in coordinating logistics for independent medical exams (IMEs), social media checks, and surveillance assignments. Ability to provide clear, responsive customer service to injured workers, HR partners, and payroll staff regarding claim status. Ability to identify and flag complex issues that require escalation to a supervisor. Ability to maintain organized electronic and physical files while ensuring the confidentiality of sensitive medical and personal data.

PHYSICAL REQUIREMENTS

• Ability to focus on objects at varying distances and distinguish between colors (with corrective lenses). Perform tasks that require manual dexterity, including operation of computers & small office equipment. Basic mobility and the ability to navigate the office environment safely. Ability to speak clearly, listen attentively (with assistance devices), and convey information accurately. May be required to give presentations to groups.

MENTAL REQUIREMENTS

Ability to analyze complex situations, identify potential risks, and devise effective solutions. Ability to remain flexible in dynamic environments, adjusting plans and strategies as necessary to accommodate changing requirements or circumstances. Ability to effectively communicate and collaborate with other teams. Ability to manage time and priorities to meet deadlines.

WORK ENVIRONMENT

Work is performed in a semi‑secured office building with a typical office environment and risk factors. Some travel to local schools may be required.

The Jefferson County School District does not discriminate on the basis of disability, race, color, creed, religion, national origin, age, sexual orientation, marital status, political affiliation, pregnancy, or gender.