Workers' Compensation Claim Professional

SFM Mutual Insurance Company; BLOOMINGTON (MN); Hybrid; USD 67,724 - 94,814; Full time

Benefits offered by this job

Medical, dental, and vision coverage (

Hybrid work environment

401(k) with company match

Student loan repayment

Generous PTO, holidays, and parental/m

Life insurance and disability coverage

Bonus opportunities

Wellness discounts

Job summary

SFM Mutual Insurance Company in Bloomington, MN is seeking an experienced Workers’ Compensation Claims Adjuster to manage claims from initial contact through resolution, ensuring compliance with state statutes and company best practices. The role emphasizes collaboration with employers, injured workers, and internal teams, and a strong customer‑first mindset.

Hybrid work environment, competitive benefits package, opportunities for advancement, and exposure to complex lost time claims.

Qualifications

• 6+ months of workers’ compensation lost time experience is required.
• Knowledge of applicable Workers’ Compensation statutes and regulatory reporting.
• Understanding of medical terminology, anatomy, and insurance fundamentals.
• Strong analytical, problem‑solving, and decision‑making skills.
• Excellent communication and interpersonal skills with a customer‑first mindset.
• Ability to manage multiple priorities with strong organization and time management.
• Proficiency with computer systems and data management tools.

Responsibilities

• Investigate worker compensation claims, determine compensability, and ensure compliance with state workers’ compensation laws and internal guidelines focusing on MN jurisdictions.
• Communicate with injured workers, employers, and partners to set expectations and support return-to-work strategies.
• Manage medical and wage loss benefits within authority limits and coordinate external services (medical, legal, rehab), set reserves, and issue timely payments of medical and wage loss benefits.
• Establish and maintain accurate claim reserves; communicate exposure and mitigation strategies.
• Develop and document claim strategies, action plans, and settlement analysis while educating the employer as an effective business partner to mitigate exposure.
• Maintain accurate and timely file documentation aligned with regulatory and reporting requirements.
• Identify and resolve payment issues, collaborating with technical experts when needed.
• Contribute to team success through collaboration, mentorship, and participation in discussions and projects.

Skills

Workers’ compensation

Lost time experience

Analytical skills

Communication skills

Time management

Data management tools

Problem-solving

Job description

About the Role

Join the top Workers Compensation insurance provider and experience an environment where you’ll enjoy great work/life balance and the satisfaction of helping others. In this collaborative role, you’ll partner with internal teams, employers, and injured workers to manage claims from initial contact through resolution while ensuring compliance with state statutes and company best practices. Delivering outstanding customer service to all parties involved and carrying out the organization’s mission to "do the right thing" is a must. Lost time experience is needed. SFM offers a robust benefit package which enables you to navigate your work‑life journey successfully. Hybrid work is offered. Experienced workers’ compensation claims adjusters are encouraged to apply and will be considered for a higher role if qualified. At SFM, we believe our employees are our greatest asset, and we’re committed to providing a supportive, growth‑oriented work environment.

Responsibilities

• Investigate worker compensation claims, determine compensability, and ensure compliance with state workers’ compensation laws and internal guidelines focusing on MN jurisdictions.
• Communicate with injured workers, employers, and partners to set expectations and support return‑to‑work strategies.
• Manage medical and wage loss benefits within authority limits and coordinate external services (medical, legal, rehab), set reserves, and issue timely payments of medical and wage loss benefits.
• Establish and maintain accurate claim reserves; communicate exposure and mitigation strategies.
• Develop and document claim strategies, action plans, and settlement analysis while educating the employer as an effective business partner to mitigate exposure.
• Maintain accurate and timely file documentation aligned with regulatory and reporting requirements.
• Identify and resolve payment issues, collaborating with technical experts when needed.
• Contribute to team success through collaboration, mentorship, and participation in discussions and projects.

Qualifications

• 6+ months of workers’ compensation lost time experience, required.
• Knowledge of applicable Workers’ Compensation statutes and regulatory reporting.
• Understanding of medical terminology, anatomy, and insurance fundamentals.
• Strong analytical, problem‑solving, and decision‑making skills.
• Excellent communication and interpersonal skills with a customer‑first mindset.
• Ability to manage multiple priorities with strong organization and time management.
• Proficiency with computer systems and data management tools.

Benefits

• Comprehensive medical, dental, and vision coverage (plus HSA/FSA options).
• Significant cash benefit if you opt out of our health plan.
• Flexible hybrid work environment.
• 401(k) with both traditional and Roth options plus company match.
• Contributions toward student loan repayment.
• Generous PTO, 9 paid holidays, and paid parental leave.
• Monthly home internet allowance.
• Free life insurance, short‑term and long‑term disability coverage.
• Incentive bonus opportunities.
• Discounts on gyms, fitness apps, and wellness programs.

Location

Bloomington, MN 55431, USA

Salary

$67,724.00 to $94,814.00

Work Environment and Physical Demands

Regular attendance is required. Work takes place in a semi‑paperless environment within an office setting, either on business premises or other remote location, using standard office equipment such as computers, phones, and copiers, which requires being stationary for extended periods of time. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand, walk, use hands and fingers, handle or feel, and reach with hands and arms and work with close vision. This position requires the ability to occasionally lift office products and supplies up to 20 pounds. Work is performed indoors with little to no exposure to extreme outdoor weather conditions.

Equal Employment Opportunity

SFM Mutual Insurance Company and each of its parent companies, subsidiaries and/or affiliated companies are Equal Opportunity/Affirmative Action Employers. SFM provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, status with regard to public assistance, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SFM Companies, EEO/AA Employers. SFM is a participant of E-Verify. Applicants have rights under Federal Employment Laws.

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.