Senior Workers Compensation Claims Adjuster - Boston, MA

Jonus Group; Boston (MA); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Hybrid work

Job summary

Jonus Group client in the greater Boston area seeks an experienced Workers’ Compensation Claims Adjuster to manage a Massachusetts-focused caseload in a hybrid work environment.

The role offers $70,000 to $100,000 annually, comprehensive benefits, generous PTO, and collaborative setting with opportunities to work with defense counsel, medical providers, and insureds.

Qualifications

• 3+ years of experience handling Workers’ Compensation claims
• Active Massachusetts Workers’ Compensation Adjuster License (or ability to obtain)
• Experience managing litigated claims and working with defense counsel
• Strong understanding of medical terminology and claims evaluation strategies
• Excellent communication, negotiation, and organizational skills
• Ability to work both independently and collaboratively in a hybrid environment

Responsibilities

• Manage a caseload of Massachusetts workers’ compensation claims from inception through resolution
• Conduct thorough investigations, including coverage analysis, recorded statements, and review of medical documentation
• Evaluate compensability and establish appropriate reserves in accordance with company guidelines
• Coordinate with medical providers, legal counsel, and vocational experts to drive claim resolution
• Proactively manage litigation and attend hearings, mediations, and depositions as needed
• Ensure compliance with Massachusetts workers’ compensation statutes and regulatory requirements
• Maintain consistent communication with insureds, claimants, and internal stakeholders
• Identify opportunities for cost containment and risk mitigation throughout the life of the claim

Skills

Experience handling WC claims

Massachusetts jurisdiction experience

Litigation management

Medical terminology

Communication and negotiation

Independent and collaborative work

Job description

Overview:
Our client, a highly regarded insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their growing team in the greater Boston area. This is a hybrid opportunity offering a strong work-life balance, a collaborative environment, and the chance to handle a well-managed Massachusetts-focused caseload.

Compensation & Benefits:

• $70,000 - $100,000/year based on experience
• Comprehensive benefits package including medical, dental, vision, and 401(k)
• Generous PTO and holiday schedule
• Hybrid work flexibility

Qualifications/Requirements

• 3+ years of experience handling Workers’ Compensation claims, with strong knowledge of Massachusetts jurisdiction
• Active Massachusetts Workers’ Compensation Adjuster License (or ability to obtain)
• Experience managing litigated claims and working with defense counsel
• Strong understanding of medical terminology and claims evaluation strategies
• Excellent communication, negotiation, and organizational skills
• Ability to work both independently and collaboratively in a hybrid environment

Responsibilities

• Manage a caseload of Massachusetts workers’ compensation claims from inception through resolution
• Conduct thorough investigations, including coverage analysis, recorded statements, and review of medical documentation
• Evaluate compensability and establish appropriate reserves in accordance with company guidelines
• Coordinate with medical providers, legal counsel, and vocational experts to drive claim resolution
• Proactively manage litigation and attend hearings, mediations, and depositions as needed
• Ensure compliance with Massachusetts workers’ compensation statutes and regulatory requirements
• Maintain consistent communication with insureds, claimants, and internal stakeholders
• Identify opportunities for cost containment and risk mitigation throughout the life of the claim

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.