Senior Workers' Comp Claims Strategist

Questpro; Oteneagen Township (MN); On-site; USD 70,000 - 105,000; Full time

Job summary

Questpro in Minnesota is seeking a Claims Manager to oversee complex workers’ compensation caseloads, ensuring compliant, timely decisions and effective settlements. You will coordinate with providers, attorneys, and internal teams to optimize outcomes.

The role requires strong communication, analytical and negotiation skills, plus the ability to mentor others and manage multi-jurisdictional nuances. Local licensing and travel may be required.

Qualifications

• High School diploma or equivalent required, College degree preferred.
• 3+ years of workers’ compensation claims handling experience preferred.
• Minnesota Adjusters License required.
• Experience in client-facing roles such as account management, claims consulting, or relationship management preferred.
• Prior experience mentoring or training others is a strong plus.
• 1–2 years of Workers’ Compensation lost time claims adjusting experience or equivalent experience.

Responsibilities

• Manage caseload including complex or high-exposure workers’ compensation claims through investigation, evaluation, negotiation, and resolution.
• Determine compensability, calculate benefits, and authorize medical and indemnity payments in accordance with state laws and company policy.
• Coordinate treatment plans, return-to-work programs, and settlement strategies with medical providers, attorneys, TBG members, and vendors.
• Maintain detailed documentation in the claims management system and ensure timely reporting and compliance with regulatory requirements.
• Participate in mediations, settlement conferences, and hearings as needed, often in collaboration with outside counsel.
• Collaborate with internal medical, legal, and risk management resources to ensure optimal claim outcomes.
• Identify opportunities for early intervention, cost containment, and fraud prevention.
• Educate members on claims trends, loss drivers, and best practices for injury prevention.
• Collaborate cross-functionally with underwriting, account management, and loss control to deliver coordinated client solutions.

Skills

Communication skills

Analytical ability

Negotiation

Detail oriented

Organizational skills

Education

High School diploma

College degree

Tools

Microsoft Office

Job description

Questpro in Minnesota is seeking a Claims Manager to oversee complex workers’ compensation caseloads, ensuring compliant, timely decisions and effective settlements. You will coordinate with providers, attorneys, and internal teams to optimize outcomes.

The role requires strong communication, analytical and negotiation skills, plus the ability to mentor others and manage multi-jurisdictional nuances. Local licensing and travel may be required.