Senior WC Claims Adjuster - Lead Settlements & RTW

Questpro; Colorado; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits

401(k) with profit sharing

Generous PTO

Hybrid schedule

Job summary

Questpro seeks a senior workers’ compensation claims adjuster in Colorado to drive timely, fair resolution of complex claims and return-to-work outcomes. You will manage reserves, negotiate settlements and coordinate with injured workers, providers and policyholders.

You will mentor junior staff, guide litigated files, and work within a hybrid schedule to balance efficiency with quality outcomes. This is a senior, high-responsibility role in a top-rate carrier environment.

Qualifications

• 3+ years handling commercial workers’ compensation claims of medium-to-high complexity.
• Must hold required state adjuster licenses.
• Proven skill in reserve-setting and negotiation.
• Strong written and verbal communication.

Responsibilities

• Investigate and resolve a portfolio of moderate-to-high severity WC claims, determining coverage, compensability and liability.
• Establish accurate reserves and update stakeholders within 48 hours of material changes.
• Negotiate settlements and medical-cost-containment agreements that reduce expenses while meeting standards.
• Partner with injured workers, medical providers and policyholders to achieve safe return-to-work outcomes on lost-time claims.
• Direct outside counsel on litigated files, attend mediations and hearings as needed.
• Identify recovery and risk-transfer opportunities and execute them to recoup paid losses.
• Mentor junior adjusters and participate in file-quality audits to maintain high compliance.

Skills

Negotiation

Communication

Reserve-setting

Multi-jurisdiction WC law

Education

State adjuster license

Job description

Questpro seeks a senior workers’ compensation claims adjuster in Colorado to drive timely, fair resolution of complex claims and return-to-work outcomes. You will manage reserves, negotiate settlements and coordinate with injured workers, providers and policyholders.

You will mentor junior staff, guide litigated files, and work within a hybrid schedule to balance efficiency with quality outcomes. This is a senior, high-responsibility role in a top-rate carrier environment.