Senior Workers Compensation Claims Adjuster - Boston, MA

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

Benefits offered by this job

Hybrid work flexibility

Comprehensive benefits

Generous PTO

Job summary

The Jonus Group is assisting a client in the greater Boston area in hiring an experienced Workers' Compensation Claims Adjuster. This hybrid opportunity focuses on Massachusetts-focused caseloads and offers a balanced work-life dynamic with collaboration across teams.

Ideal candidates bring 3+ years in MA WC claims, an active MA Adjuster license (or ability to obtain), and proven success handling litigated claims, medical reviews, and strong negotiation skills in a hybrid work setting.

Qualifications

• 3+ years of experience handling Workers' Compensation claims in MA.
• Active MA Workers' Compensation Adjuster License (or ability to obtain).
• Experience handling litigated claims and working with defense counsel.
• Strong knowledge of medical terminology and claims evaluation.
• Excellent communication, negotiation, and organizational skills.
• Ability to work independently and in a hybrid environment.

Responsibilities

• Manage a caseload of Massachusetts workers' compensation claims from inception through resolution.
• Conduct investigations including coverage analysis, recorded statements, and review of medical documentation.
• Evaluate compensability and establish reserves per 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 regulations.
• Maintain communication with insureds, claimants, and internal stakeholders.
• Identify opportunities for cost containment and risk mitigation throughout the life of the claim.

Skills

Claims handling

Massachusetts knowledge

Communication skills

Negotiation skills

Organizational skills

Job description

Overview

Job Description

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.