Workers' Compensation Complex Claims Adjuster

Jobtailor; Arizona; On-site; USD 60,000 - 85,000; Full time

Job summary

Jobtailor is seeking a skilled Workers' Compensation Claims Adjuster to oversee the lifecycle of claims in the Arizona market. The role requires collaboration with claimants, employers, attorneys, medical providers, and vendors to drive timely resolutions and maintain regulatory compliance.

The ideal candidate will bring strong investigational acumen, negotiation ability, and the capacity to manage multiple priorities while evaluating compensability and pursuing recovery opportunities.

Qualifications

• 2+ years NJ loss time workers' compensation experience including litigated claims handling.
• Active Adjuster License or willingness and ability to obtain and maintain all required state licenses.
• Bachelor’s degree in business management or an equivalent combination of education and experience preferred.
• Strong investigation, organization, and decision-making skills.

Responsibilities

• Manage workers' compensation claims throughout the claim lifecycle.
• Investigate losses and make compensability decisions.
• Collaborate with claimants, employers, attorneys, medical providers, and vendors.
• Identify recovery opportunities, fraud concerns, and litigation strategies.
• Negotiate settlements and work toward quality claim outcomes.
• Manage claims from assignment through resolution.
• Evaluate compensability.
• Coordinate with medical providers and legal partners.
• Manage reserves.
• Help drive timely claims resolutions.

Skills

Investigation skills

Organizational skills

Decision making

Prioritization

Negotiation skills

Conflict resolution

Problem solving

Education

High School Diploma/GED

Bachelor’s degree in business management

Active Adjuster License

Job description

• Manage workers' compensation claims throughout the claim lifecycle
• Investigate losses and make compensability decisions
• Collaborate with claimants, employers, attorneys, medical providers, and vendors
• Identify recovery opportunities, fraud concerns, and litigation strategies
• Negotiate settlements and work toward quality claim outcomes
• Manage claims from assignment through resolution
• Evaluate compensability
• Coordinate with medical providers and legal partners
• Manage reserves
• Help drive timely claims resolutions

Requirements

• 2+ years of NJ loss time workers compensation experience including litigated claims handling
• Strong investigation, organization, and decision-making skills
• Ability to manage multiple priorities and deadlines
• Strong organizational, problem solving, negotiation and conflict resolution skills
• High School Diploma/GED required
• Active adjuster license or willingness and ability to obtain and maintain all required state licenses
• Bachelor’s degree in business management or an equivalent combination of education and experience preferred

Core Competencies

Demonstrates expertise in managing workers' compensation claims, including investigation, negotiation, and collaboration with various stakeholders. Proficient in evaluating compensability and driving timely resolutions while maintaining compliance with state regulations.

Highest-signal resume keywords

• Workers' Compensation Claims Management
• Litigated Claims Handling
• Investigation Skills
• Negotiation Skills
• Active Adjuster License

ATS Optimization Keywords

Hard Skills

• Claims Lifecycle Management
• Compensability Evaluation
• Fraud Investigation
• Settlement Negotiation
• Claims Resolution

Soft Skills

• Organizational Skills
• Problem Solving
• Decision-Making
• Conflict Resolution

Certifications & Qualifications

• Active Adjuster License
• High School Diploma/GED

Industry Keywords

• New Jersey Workers Compensation
• Claims Management
• Medical Provider Coordination
• Legal Partner Collaboration
• Recovery Opportunities