Sr. Claims Adjuster, Workers' Compensation

Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions across a ten-state footprint in the western United States, including Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington.

About the role

Investigate, manage, and resolve workers’ compensation claims in a timely, unbiased, and informed manner in compliance with company policies, state laws, and regulatory performance standards. Bilingual in Spanish preferred; pay differential available.

Responsibilities

• Verify coverage by interpreting policy documents.
• Provide account servicing support on claim issues to policyholders, including travel as required.
• Investigate, determine compensability, and manage time-loss claims consistent with jurisdictional requirements.
• Attend in-person meetings with injured workers, employers, and medical providers when necessary.
• Assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action.
• Follow up with injured workers, policyholders, and medical providers to monitor progress.
• Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
• Maintain electronic claim files, including coding, contacts, financial data, and plan of action.
• Review reserves for appropriateness and file timely reports on all serious loss claims as required by policy and regulatory standards.
• Promote a team approach to case and account management.
• Perform other duties as assigned.

Requirements

• High school diploma; Bachelor’s degree preferred.
• Five or more years of workers’ compensation adjusting experience.
• In-depth knowledge of workers’ compensation laws.
• Familiarity with medical and legal terminology and procedures.
• General computer skills.
• Excellent written and verbal communication skills.
• Strong interpersonal and negotiation skills.
• Ability to prioritize workload to meet deadlines.
• Ability to work well in a team environment.

Benefits

• Medical, dental, and vision coverage.
• Short-term and long-term disability insurance.
• Basic life insurance and AD&D at two times annual salary (no cost to employee).
• Employee Assistance Plan (no cost to employee).
• Health Savings Account (HSA) and Flexible Spending Account (FSA).
• 401(k) plan with company matching contributions.
• Paid Time Off (PTO) accrual of 0.0769 hours per paid hour (up to 20 days per year).
• 10 paid holidays per calendar year.
• 12 hours of paid volunteer time annually, plus a $500 annual charitable-match program.
• Tuition reimbursement and other education benefits.

Pay

Salary range: $95,000 – $110,000 annually, depending on skills, experience, education, and geographical location. Compensation may also include an annual discretionary bonus.