Senior Claims Adjuster Workers Compensation

TalentHop; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

TalentHop is partnering with employers to fill a Senior Claims Adjuster (Workers’ Compensation) role in the United States. The candidate will manage complex workers’ compensation claims, analyze exposure, and drive resolutions with empathetic, compliant service.

Responsibilities include analyzing claims exposure, communicating with involved parties, documenting activities, and ensuring adherence to regulatory standards.

Qualifications

• Holds a high school diploma; Bachelor’s degree preferred.
• Minimum 3 years of workers compensation claims adjusting experience.
• Active adjuster licenses or reciprocity in FL, GA, and NC.
• Knowledge of industry standards and practices.
• Proficiency with claims and business software.

Responsibilities

• Analyze claims exposure and determine appropriate courses of action.
• Communicate effectively with all parties involved in claims.
• Provide empathetic customer service throughout the claims process.
• Handle claims in compliance with policies, regulations, and ethical standards.
• Document and report claim activities accurately and promptly.

Skills

Claims analysis

Communication

Industry standards

Software proficiency

Education

High school diploma

Bachelor's degree preferred

Tools

Claims software

Business software

Job description

The organization operates within the insurance claims management industry, focusing on supporting clients through complex and challenging situations involving claims. It addresses the need for empathetic, precise, and effective claims handling to help individuals and businesses navigate recovery and resolution processes. The company emphasizes a culture of teamwork, curiosity, and purpose-driven work, contributing to meaningful outcomes for clients.

About the Opportunity:

The SENIOR CLAIMS ADJUSTER WORKERS COMPENSATION role is responsible for managing and resolving complex workers compensation claims. This position involves analyzing claims exposure, making informed decisions, and ensuring effective communication among involved parties. The role contributes by delivering thorough claims evaluations and resolutions that support clients and claimants, enhancing the overall claims management process.

Responsibilities:

• Analyze claims exposure and determine appropriate courses of action
• Communicate effectively with all parties involved in claims
• Provide empathetic customer service throughout the claims process
• Handle claims in compliance with policies, regulations, and ethical standards
• Document and report claim activities accurately and promptly

Requirements:

• High school diploma
• Minimum of 3 years of related workers compensation claims adjusting experience
• Active adjuster licenses or reciprocal in FL, GA, and NC
• Knowledge of industry standards and practices
• Proficiency with claims and business software
• Bachelor's degree preferred

Pay Range and Compensation Package:

• The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
• Competitive compensation
• Career development and ongoing learning opportunities
• Collaborative culture with accessible leadership
• Opportunity to contribute to meaningful work with global reach and local impact

Equal Opportunity Statement:

Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.