Sr. Workers Compensation Adjuster

Questpro; Colorado; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits

401(k) with profit sharing

Generous PTO

Hybrid schedule

Job summary

Questpro seeks a senior workers’ compensation claims adjuster in Colorado to drive timely, fair resolution of complex claims and return-to-work outcomes. You will manage reserves, negotiate settlements and coordinate with injured workers, providers and policyholders.

You will mentor junior staff, guide litigated files, and work within a hybrid schedule to balance efficiency with quality outcomes. This is a senior, high-responsibility role in a top-rate carrier environment.

Qualifications

• 3+ years handling commercial workers’ compensation claims of medium-to-high complexity.
• Must hold required state adjuster licenses.
• Proven skill in reserve-setting and negotiation.
• Strong written and verbal communication.

Responsibilities

• Investigate and resolve a portfolio of moderate-to-high severity WC claims, determining coverage, compensability and liability.
• Establish accurate reserves and update stakeholders within 48 hours of material changes.
• Negotiate settlements and medical-cost-containment agreements that reduce expenses while meeting standards.
• Partner with injured workers, medical providers and policyholders to achieve safe return-to-work outcomes on lost-time claims.
• Direct outside counsel on litigated files, attend mediations and hearings as needed.
• Identify recovery and risk-transfer opportunities and execute them to recoup paid losses.
• Mentor junior adjusters and participate in file-quality audits to maintain high compliance.

Skills

Negotiation

Communication

Reserve-setting

Multi-jurisdiction WC law

Education

State adjuster license

Job description

Our client creates exceptional value for partners, policyholders and employees by protecting mid-sized construction, manufacturing and healthcare businesses. In this senior role you will drive timely, fair resolution of complex workers’ compensation claims so injured employees return to work safely and policyholders stay protected. Your work directly supports their internal service model and A.M. Best “A” (Excellent) promise.

Performance Objectives

• Investigate and resolve a portfolio of moderate-to-high severity workers’ compensation claims, determining coverage, compensability and liability within 30 days of assignment.
• Establish and maintain accurate reserves that reflect true financial exposure; update stakeholders within 48 hours of material changes.
• Negotiate settlements and medical-cost-containment agreements that reduce allocated loss-adjustment expense while meeting quality and compliance standards.
• Partner with injured workers, medical providers and policyholders to achieve documented, safe return-to-work outcomes on at least 70 % of lost-time claims.
• Direct outside counsel on litigated files, attending mediations and hearings as needed to close files within jurisdictional best-practice timelines.
• Identify recovery and risk-transfer opportunities and execute them to recoup at least 10 % of paid losses annually.
• Mentor junior adjusters and contribute to file-quality audits that keep the team above 90 % compliance with claims guidelines.

Environment & Resources

You will report to a Claims Manager and will have full access to our claims platform and medical-bill-review vendors.

Essential Qualifications

• 3+ years handling commercial workers’ compensation claims of medium-to-high complexity, including litigated files.
• Proven ability to obtain and maintain required state adjuster licenses.
• Demonstrated skill in reserve-setting, negotiation and multi-jurisdictional WC law.
• Strong written and verbal communication that builds trust with agents, policyholders and injured workers.
• License required

Role Selling Points

• Join a top-100 P&C carrier with nearly $1 B DWP and $1.21 B surplus, recognized as a Best Place to Work in Insurance.
• Competitive total rewards: base + incentive pay, 401(k) with profit sharing, comprehensive health benefits and generous PTO.
• Flexible hybrid schedule and a culture that invests in professional growth and work-life balance.
• Direct impact on construction, manufacturing and healthcare policyholders

If you are ready to deliver exceptional claims outcomes and grow with an employer of choice, Our client is an Equal Employment Opportunity employer.