Job Description

Job Description

Job Description

Are you a compassionate problem-solver with a passion for guiding people through difficult times? A leading organization is seeking a skilled Workers’ Compensation Claims Adjuster to oversee the full life cycle of claims and deliver fair, timely resolutions. This pivotal role is ideal for a detail-oriented professional who can balance empathy with compliance while managing complex cases with precision.

If you’re an experienced claims professional ready to take the next step in your career, we encourage you to apply today!

Compensation:
Salary Range: $60,000–$75,000 annually, commensurate with experience

Company Highlights:

• Competitive salary paired with a wide range of compensation initiatives.

• Comprehensive benefits, including health insurance, life insurance, and wellness programs.

• Generous paid time off with flexible scheduling and telecommuting options.

• Robust retirement savings plan and 401(k) education programs to support your future.

• Ongoing learning and development opportunities to foster career growth.

• A supportive, team-oriented work culture that values collaboration.

Responsibilities of the Workers’ Compensation Claims Adjuster

• Conduct thorough investigations to determine compensability on claims, leveraging all available resources for accuracy.

• Develop and implement effective claim resolution strategies, consulting with management when needed.

• Facilitate safe and timely return-to-work programs for injured employees, ensuring medical treatments align with accepted injuries.

• Apply knowledge of medical terminology and procedures to coordinate appropriate resources.

• Evaluate and negotiate disputed claims, and assist in handling litigated claims with minor issues.

• Ensure compliance with Claims Quality Guidelines, handling instructions, and regulatory requirements while maintaining active licenses.

• Set reserves accurately and issue timely payments, including projecting future benefits such as scarring and loss of use.

• Identify and manage potential Medicare and other exposures early in the claim process.

Qualifications of the Workers’ Compensation Claims Adjuster

• Bachelor’s degree or 3–5 years of workers’ compensation claims experience.

• Strong knowledge of WC law, claims processes, and medical treatment guidelines.

• Proficiency in Microsoft Office Suite and other relevant software.

• Excellent communication, negotiation, and decision-making skills.

• Demonstrated empathy, professionalism, and a customer-focused approach.

• Reliable transportation for occasional local errands.

Submit your resume today for immediate consideration!

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Please Note: City Personnel offers extended interview hours from 7 am–7 pm upon request

City Personnel, Inc. is your trusted local recruitment partner based in Providence, RI. For nearly 20 years, we’ve been connecting top talent with leading companies right here in Rhode Island and Southern Massachusetts. Our deep understanding of the local job market allows us to offer personalized support and outstanding opportunities. Whether you're seeking temporary, temporary-to-permanent, or permanent positions, we’re here to help. Contact us today at (401) 331-2311 to find your perfect job match!

City Personnel is an Equal Opportunity Employer. We do not discriminate against applicants due to race, national origin, religion, marital status, military status, disability, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact us at [email protected].

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