Senior Workers' Comp Claims Adjuster - Remote, New England

The Jonus Group; Burlington (VT); Remote; USD 80,000 - 95,000; Full time

Benefits offered by this job

Annual bonus potential

Remote work

Benefits package

Long-term dedicated account

Supportive leadership

Job summary

Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster to support a New England client. This fully remote role requires handling a Vermont caseload with deep knowledge of VT statutes, complex and litigated claims, and end-to-end claims management from inception to resolution.

The ideal candidate has 5+ years of WC claims adjusting experience, familiarity with CT/ME/VT regulations, and prior TPA or carrier work. Connecticut license or ability to obtain quickly is preferred.

Qualifications

• 5+ years of Workers’ Compensation Claims Adjusting experience
• Strong knowledge of CT, ME, or VT Workers’ Compensation regulations and claims procedures
• Experience handling complex and litigated claims
• Prior experience with 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 to determine compensability and reserves
• Ensure compliance with New England workers’ compensation laws and regulatory requirements
• Coordinate with injured workers, employers, medical providers, attorneys, and other stakeholders
• Establish and adjust reserves based on claim developments and exposure
• Direct medical management with nurse case managers when appropriate
• Evaluate claims for settlements and participate in negotiations
• Manage litigated claims with defense counsel to control costs
• Maintain accurate claim documentation and provide timely updates to the client
• Deliver high levels of customer service to a dedicated client account while meeting service standards and KPIs

Skills

Organizational skills

Analytical skills

Negotiation skills

Job description

Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster to support a New England client. This fully remote role requires handling a Vermont caseload with deep knowledge of VT statutes, complex and litigated claims, and end-to-end claims management from inception to resolution.

The ideal candidate has 5+ years of WC claims adjusting experience, familiarity with CT/ME/VT regulations, and prior TPA or carrier work. Connecticut license or ability to obtain quickly is preferred.