New England Workers Compensation Claims Adjuster - Remote

The Jonus Group; Burlington (VT); Remote; USD 80,000 - 95,000; Full time

Benefits offered by this job

Annual bonus potential

Remote work

Benefits package

Long-term dedicated account

Supportive leadership

Job summary

Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster to support a New England client. This fully remote role requires handling a Vermont caseload with deep knowledge of VT statutes, complex and litigated claims, and end-to-end claims management from inception to resolution.

The ideal candidate has 5+ years of WC claims adjusting experience, familiarity with CT/ME/VT regulations, and prior TPA or carrier work. Connecticut license or ability to obtain quickly is preferred.

Qualifications

• 5+ years of Workers’ Compensation Claims Adjusting experience
• Strong knowledge of CT, ME, or VT Workers’ Compensation regulations and claims procedures
• Experience handling complex and litigated claims
• Prior experience with a TPA or insurance carrier preferred
• Strong organizational, analytical, and negotiation skills
• Ability to manage a full caseload independently in a remote work environment
• Active Connecticut adjuster license or ability to obtain quickly

Responsibilities

• Manage a full caseload of New England workers’ compensation claims from inception to closure
• Investigate claims to determine compensability and reserves
• Ensure compliance with New England workers’ compensation laws and regulatory requirements
• Coordinate with injured workers, employers, medical providers, attorneys, and other stakeholders
• Establish and adjust reserves based on claim developments and exposure
• Direct medical management with nurse case managers when appropriate
• Evaluate claims for settlements and participate in negotiations
• Manage litigated claims with defense counsel to control costs
• Maintain accurate claim documentation and provide timely updates to the client
• Deliver high levels of customer service to a dedicated client account while meeting service standards and KPIs

Skills

Organizational skills

Analytical skills

Negotiation skills

Job description

Overview:

A well-established Third-Party Administrator (TPA) is seeking an experienced Senior Workers’ Compensation Claims Adjuster to join their team supporting New England. This role is fully remote and requires a seasoned claims professional who can independently manage a complex Vermont workers’ compensation caseload while delivering excellent service to both the client and injured workers.

The ideal candidate will have strong knowledge of Vermont workers’ compensation statutes, proven experience handling litigated and complex claims, and the ability to manage claims from inception through resolution.

Compensation:

• $80,000 - $95,000/year


• Annual Bonus Potential


• 100% Remote Work Environment


• Comprehensive benefits package


• Opportunity to support a stable, long-term dedicated account


• Collaborative and supportive claims leadership team

Job Requirements:

• 5+ years of Workers’ Compensation Claims Adjusting experience, within the New England jurisdictions is rquired


• Strong understanding of CT, ME, or VT Workers’ Compensation regulations and claims procedures.


• Experience handling complex and litigated claims.


• Prior experience working for a TPA or insurance carrier preferred.


• Strong organizational, analytical, and negotiation skills.


• Ability to manage a full caseload independently in a remote work environment.


• Active Connecticut adjuster license or ability to obtain quickly.

Key Responsibilities:

• Manage a full caseload of New Engalnd workers’ compensation claims from inception to closure.


• Investigate claims thoroughly to determine compensability and appropriate reserves.


• Ensure all claims are handled 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 coordination with nurse case managers when appropriate.


• Evaluate claims for settlement opportunities and participate in negotiations when necessary.


• Manage litigated claims, working 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 all service standards and KPIs.

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