New England Workers Compensation Claims Supervisor - Remote

The Jonus Group; Burlington (VT); Remote; USD 95,000 - 110,000; Full time

Benefits offered by this job

Annual Bonus Potential

Comprehensive benefits package

100% Remote Work Environment

Job summary

The Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster to support New England from a fully remote location in the United States. You will independently manage a complex Vermont/New England caseload, ensuring timely, accurate claims handling and excellent service to clients and injured workers.

You will leverage your 5+ years of workers’ compensation experience, strong knowledge of NE statutes, and proven ability to navigate litigated claims while maintaining compliance and

Qualifications

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

Responsibilities

• Manage a full caseload of New England 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.

Skills

Claims adjusting

Negotiation

Analytical skills

Communication

Remote work independence

Job description

Overview

Job Description

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

• $95,000- $110,000/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 required


• 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 England 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.