Senior Claims Adjuster, Workers Compensation - Remote

Overview

The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements.

In Short

• Independently handle all aspects of workers’ compensation claims.
• Evaluate and handle high dollar, high exposure, complex claims.
• Conduct timely investigations and mitigate complex exposures.
• Make timely and accurate compensability decisions.
• Set reserves consistent with case facts and company practices.
• Provide excellent customer service to partners and customers.
• Work with TPA adjusters to drive optimized claims outcomes.
• Mentor junior adjusters.
• Ensure compliance with statutory guidelines and regulations.
• Participate in negotiations for claim settlements.

Requirements

• High School Diploma or equivalent required.
• Bachelor's Degree or equivalent experience preferred.
• Minimum of 5 years of workers’ compensation claim adjusting experience.
• Active licensing in applicable states required.
• Strong communication skills to convey complex information.
• Experience with G-Suite and collaboration tools like Slack preferred.
• Advanced knowledge of regulatory requirements.
• Strong problem-solving skills for complex tasks.
• Able to manage legal activities during litigation.
• Ability to mentor junior adjusters.

Benefits

• Competitive cash compensation.
• Equity participation.
• Comprehensive health plans.
• Generous PTO.
• 401k match.
• Generous parental and caregiver leave.