Workers Compensation Claims Adjuster

Job Description

Job Description

Are you a compassionate professional with a knack for problem-solving and a passion for helping others navigate complex situations? We’re looking for an experienced Workers’ Compensation Claims Adjuster to oversee the end-to-end management of claims — ensuring fair, timely, and compliant resolutions. This role is perfect for a detail-driven individual who thrives on balancing empathy, accuracy, and efficiency while handling intricate cases.

If you’re ready to advance your career in claims management, we’d love to connect with you!

Compensation

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

Company Highlights

Competitive base pay with performance-based incentives

Comprehensive benefits package (medical, dental, vision, and life insurance)

Wellness initiatives and flexible paid time off

Hybrid work model is available after training

401(k) education and retirement planning support

Continuous learning and professional development opportunities

Collaborative, team-oriented environment that values respect and growth

Key Responsibilities of the Workers’ Compensation Claims Adjuster :

Conduct detailed investigations to determine claim compensability using all relevant data sources

Develop and execute effective claim resolution strategies in consultation with management

Facilitate safe and timely return-to-work programs and coordinate appropriate medical care

Apply medical and regulatory knowledge to evaluate treatment plans and case progress

Negotiate disputed claims and provide support for minor litigated cases

Ensure compliance with Claims Quality Guidelines, regulatory standards, and licensing requirements

Set accurate reserves, issue timely benefit payments, and manage projected future exposures

Identify and proactively address potential risks, including Medicare-related considerations

Qualifications of the Workers’ Compensation Claims Adjuster :

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

Solid understanding of workers’ compensation laws, claim procedures, and medical treatment protocols

Strong proficiency in Microsoft Office Suite and claims management systems

Excellent communication, negotiation, and critical-thinking skills

Empathetic, detail-oriented, and customer-focused approach to claims handling

Reliable transportation for occasional local assignments

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 admin@citypersonnel.net.

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