Job Description

Job Description

Are you a meticulous problem-solver with a knack for investigation and a passion for helping others? We're seeking a committed Claims Adjuster to manage the full life cycle of workers' compensation claims and ensure fair and timely resolutions. This is a crucial role for someone with strong analytical skills and a talent for balancing compassion with compliance.

If you are an experienced claims professional seeking your next career opportunity, we encourage you to apply!

Company Highlights:

• Competitive annual salary along with a broad range of compensation initiatives. $60,000-$75,000 per year.
• Comprehensive health plans, life insurance, and wellness programs for a healthy work-life balance.
• Generous vacation time, plus telecommuting and flexible schedule options.
• Retirement savings plan and 401(k) educational programs.
• Learning and development opportunities for continuous professional growth.
• A friendly and supportive atmosphere where teamwork and knowledge sharing are prioritized.

Responsibilities for the Claims Adjuster:

• Conduct thorough investigations and determine compensability on claims with uncertain or questionable factors, leveraging additional investigative resources when needed.
• Design and implement strategies for optimal claim resolution, weighing options and consulting your manager when necessary to determine the best course of action.
• Proactively return injured workers to safe, appropriate work, ensuring medical treatment is appropriate and causally related to the accepted injury.
• Use your knowledge of medical terminology and procedures to engage resources when necessary.
• Evaluate and negotiate moderate dispute claims to settlement and handle litigated claims with minor issues, consulting on litigation strategy as needed.
• Follow Claims Quality Guidelines, handling instructions, and all applicable regulations while maintaining required licenses in good standing.
• Accurately reserve and issue timely payments, projecting benefits, including scarring and loss of use.
• Consider Medicare and other exposures early in the life of the claim.

Qualifications for the Claims Adjuster:

• Bachelor’s degree or 3–5 years of relevant workers’ compensation claims experience.
• Understanding of WC law, claim procedures, and medical treatment guidelines.
• Tech-savvy with proficiency in Microsoft Office Suite.
• Strong communication and decision-making skills.
• Empathy, professionalism, and a customer-first mindset.
• Reliable transportation is required for 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 admin@citypersonnel.net.

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