Sr. Workers Comensation Claims Adjuster - Wisconsin

The Jonus Group; Farmington Hills (MI); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Flexible work arrangements

Job summary

The Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster in the United States. The role requires 3+ years of workers’ compensation indemnity claims handling with jurisdictional expertise in Wisconsin and relevant licenses.

Proficiency in MS Office and Guidewire is preferred, with AIC or SLA certification a plus. Responsibilities include investigating claims, coordinating with stakeholders, negotiating settlements, and maintaining reserves.

Qualifications

• Minimum 3 years handling workers’ compensation indemnity claims with jurisdictional expertise (Wisconsin required).
• Licenses for covered jurisdictions must be current and active.
• AIC or SLA certification is preferred.

Responsibilities

• Investigate and analyze workers’ compensation claims to determine coverage and resolutions.
• Collaborate with agents, policyholders, and internal stakeholders to manage claims effectively.
• Develop action plans to resolve claims, including evaluating damages and negotiating settlements.
• Establish and maintain accurate reserves reflecting financial exposure.
• Manage litigated claims in collaboration with legal counsel.
• Review and interpret applicable insurance policies to address coverage issues.

Skills

3+ years experience

Wisconsin license

AIC or SLA certification

MS Office

Guidewire (Claims Center)

Education

Bachelor’s degree or equivalent

Tools

Guidewire (Claims Center)

MS Office Suite

Job description

Senior Workers’ Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced

Job Description

Senior Workers’ Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. The ideal candidate will bring strong analytical skills, jurisdictional expertise, and a commitment to delivering exceptional service to stakeholders.

Compensation Package

• Salary Range: $85,000 - $95,000 (with potential for higher compensation based on experience)
• Benefits:
  • Comprehensive health and welfare benefits
  • Performance-based incentive pay
  • Flexible work arrangements to promote work-life balance

Responsibilities

• Investigate and analyze workers’ compensation claims to determine coverage, compensability, and appropriate resolutions.
• Collaborate with agents, policyholders, and internal stakeholders to manage claims effectively.
• Develop and execute action plans to resolve claims, including evaluating damages, negotiating settlements, and engaging external resources as needed.
• Establish and maintain accurate reserves to reflect financial exposure.
• Manage litigated claims in collaboration with legal counsel.
• Review and interpret commercial insurance policies to address coverage issues.
• Maintain compliance with jurisdictional requirements and licensing.

Qualifications/Requirements

• Education: Bachelor’s degree or equivalent combination of education and experience.
• Experience: Minimum of 3 years handling workers’ compensation indemnity claims of medium complexity/severity, with jurisdictional expertise in Wisconsin (required). Experience with Kansas, Kentucky, Minnesota, or Michigan is a plus.
• Licensing: Must hold appropriate state licenses for the jurisdictions covered.
• Technical Skills: Proficiency in Microsoft Office Suite; experience with Guidewire (Claims Center) is a plus.
• Certifications: AIC or SLA certification preferred.
• Strong analytical skills, attention to detail, and the ability to build positive relationships with internal and external stakeholders.
• Excellent verbal and written communication skills.
• Ability to travel overnight up to 10% and travel daily between locations as needed.
• Must have access to a personal computer.