Sr. Claims Adjuster - Workers Compensation

Role: Senior Claims Adjuster - Workers' CompensationLocation: RemoteDuration: 3-month contract-to-potential hirePending Caseload: Approximately 150-180 workers' compensation claimsPay: $43.71/hrJob DescriptionThe Senior Resolution Manager is responsible for handling complex workers' compensation claims through investigation, evaluation, litigation management, and resolution. This individual will manage a high-volume caseload while partnering with employers, injured workers, attorneys, medical providers, and insurance partners. The ideal candidate will have strong workers' compensation experience, excellent claim judgment, and the ability to independently manage complex and litigated claims across multiple clients.Required Qualifications5-7+ years of workers' compensation claims experienceExperience managing indemnity and lost-time claimsAbility to independently manage a high-volume caseloadExperience handling claims across multiple clientsStrong understanding of compensability and state workers' compensation regulationsExcellent investigation and claim resolution skillsComfortable working in a TPA environmentAbility to learn and utilize claims management systemsMidwest/California Requirement (Must Have)Experience and/or active licensing in several of the following states:IllinoisWisconsinMichiganMinnesotaIowaSouth DakotaCaliforniaPreferred QualificationsLitigation management experienceTPA experience (Gallagher Bassett, Sedgwick, Broadspire, CorVel, ESIS, CCMSI, Charles Taylor, PMA, Cannon Cochran, Helmsman, etc.)Captive insurance program experienceMulti-state workers' compensation claims handling experienceSelf-insured account experienceResponsibilitiesManage a portfolio of workers' compensation claims from assignment through closureInvestigate claims and determine compensabilityReview medical records, wage information, and treatment plansCoordinate return-to-work effortsEstablish claim reserves and manage claim strategyPartner with attorneys on litigated filesNegotiate settlements and claim resolutionsMaintain diary compliance and claim documentationCommunicate regularly with employers, claimants, and insurance partnersEffectively manage claims across multiple clients while meeting service standards