Sr. Workers Compensation Adjuster

About the role

A national commercial claims team serves mid-sized businesses through an exclusive independent-agent network. This desk handles complex, costly or contested workers' compensation claims for construction, manufacturing and healthcare clients. The adjuster reports to claims leadership, works in the claims system and Microsoft Office, and has hybrid scheduling with defined authority; overnight travel is generally limited to about 15 percent.

Key responsibilities

• Investigate, determine compensability and coverage, and move medium-to-high severity claims to the right resolution.
• Set and maintain reserves and explain their financial impact to policyholders, including those on large-deductible and retrospectively rated programs.
• Build return-to-work plans with employers, providers and injured workers that shorten disability without compromising safe recovery.
• Direct defense counsel on litigated files, control allocated expense and reach settlements aligned with claim guidelines.
• Surface claim trends and risk-mitigation steps for agents and policyholders, and present large-loss summaries in file reviews.
• Coach less experienced handlers to improve file quality and cycle time.

Required profile

• Bachelor's degree or equivalent combination of education and workers' compensation claims experience.
• Five or more years handling medium-to-high severity commercial workers' compensation, including litigated files and direction of outside counsel.
• Demonstrated skill in setting reserves, negotiating resolution and managing medical and indemnity exposure.
• Working knowledge of multi-state workers' compensation law and ability to obtain required state licenses.
• Clear written and verbal communication with injured workers, employers, agents, providers and counsel.
• Ability to prioritize a changing caseload and document decisions that stand up to audit.

What we offer

• Hybrid work arrangement.
• Performance-based incentive pay.
• Comprehensive health benefits.
• 401(k) with profit sharing.
• Generous paid time off.