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[Remote] Sr. Claims Adjuster, Worker’s Compensation

Remote, USA Full-time Posted 2025-11-24
Note: The job is a remote job and is open to candidates in USA. CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions. They are seeking a Sr. Claims Adjuster, Worker's Compensation to investigate, manage, and resolve claims in compliance with policies and state laws. Responsibilities • Knowledge of policy documents for coverage verification. • 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. • When necessary, 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 files necessary for documentation of the claim file 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 ANIC policy and regulatory standards. • Promote the team approach to case and account management. • Perform other duties as assigned. • Bilingual in Spanish preferred, pay differential available. Skills • High school graduate • 5 years or greater of Workers’ Compensation adjusting experience • In-depth knowledge of Workers’ Compensation laws • Knowledge of medical and legal terminology and procedures • General computer skills • Excellent written and verbal communication skills • Strong interpersonal skills • Effective negotiation skills • Ability to prioritize workload to meet deadlines • Ability to work well in a team environment • Bachelor’s degree • Bilingual in Spanish Benefits • Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. • We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). • CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits and business casual dress. Company Overview • CopperPoint Insurance Companies operates as a premier provider of workers compensation insurance. It was founded in 1925, and is headquartered in Phoenix, Arizona, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job Apply tot his job Apply To this Job

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