Senior W/C Claims Adjuster - Remote (New England)

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

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