Workers' Compensation Claim Adjuster, Sr. - Hybrid

Job Summary

We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant who is responsible for managing a full caseload of indemnity workers’ compensation claims across multiple accounts and industries, including healthcare, manufacturing, warehouse, agriculture, hospitality, restaurant, and transportation environments. This role handles primarily moderate-complexity claims with some litigation exposure across Iowa and Nebraska jurisdictions, providing high-quality claim outcomes through sound judgment, effective communication, and adherence to corporate and client standards.

Responsibilities

• Investigate, evaluate, and adjust workers’ compensation claims in accordance with established claim handling standards, client-specific instructions, and state laws
• Manage a caseload of approximately 125 claims across multiple accounts
• Establish reserves and provide reserve recommendations within established authority levels
• Review, approve, and oversee medical, legal, and miscellaneous invoices for accuracy and claim-related necessity
• Negotiate disputed bills and invoices for appropriate resolution
• Authorize and issue claim payments utilizing established claim payment programs and authority guidelines
• Negotiate settlements in accordance with corporate standards, client instructions, and jurisdictional requirements
• Absorb and oversee subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws
• Cook up and participate in hearings, mediations, and informal legal conferences as appropriate
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management
• Monitor and pursue subrogation opportunities through resolution
• Maintain accurate claim documentation, diary management, reserves, and payments within the claim system
• Prepare reports detailing claim status, reserves, and payments as requested
• Compute disability rates in accordance with state laws