Senior Workers' Comp Claims Adjuster (Onsite)

TekWissen ®

Roseville (CA)

On-site

USD 80,000 - 99,000

Full time

4 days ago
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Job summary

TekWissen Group in Roseville, CA, is seeking a Senior Workers Compensation Adjuster to manage moderate to high-value claims with minimal supervision. The role emphasizes advanced investigative and negotiation skills to resolve disputes and handle escalations.

You will work with internal and external experts, including legal counsel, conduct thorough evaluations, set reserves, and guide junior handlers. This onsite, full-time position requires licensing and travel as needed.

Qualifications

  • Bachelor’s degree preferred or equivalent experience.
  • 5–10+ years of workers compensation claims handling with an insurer.
  • Must possess/state adjuster licenses and CE credits.
  • Skilled in negotiating complex claims and influencing outcomes.
  • Strong judgment on high-exposure cases including litigation and compliance.
  • Excellent verbal and written communication.
  • Highly organized with strong time and desk management; mentorship.
  • Knowledge of regulatory environment and jurisdictional requirements.
  • Empathetic customer service and escalation management.
  • Able to work on-site and travel as needed.
  • Ability to work in a fast-paced environment.

Responsibilities

  • Represent the company in claims litigation forums while upholding professionalism.
  • Ensure compliance with regulatory and company standards.
  • Lead investigations, assess coverage, and issue reservation of rights and coverage letters.
  • Identify opportunities to transfer risk and pursue subrogation.
  • Resolve disputes and negotiate favorable outcomes.
  • Set reserves and authorize payments within authority.
  • Maintain accurate records and prepare reports.
  • Coordinate with legal, underwriting, vendors, and agents.
  • Mentor junior claim handlers and share best practices.
  • Support training and development materials.

Skills

Negotiation skills
Investigative skills
Regulatory knowledge
Mentoring
Communication skills
Cross-functional collaboration

Education

Bachelor’s degree (preferred)

Job description

TekWissen Group in Roseville, CA, is seeking a Senior Workers Compensation Adjuster to manage moderate to high-value claims with minimal supervision. The role emphasizes advanced investigative and negotiation skills to resolve disputes and handle escalations.

You will work with internal and external experts, including legal counsel, conduct thorough evaluations, set reserves, and guide junior handlers. This onsite, full-time position requires licensing and travel as needed.

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