ABOUT:

Are you an experienced Workers’ Compensation Adjuster looking to take the next step in your career? Our client, a leading insurance carrier, is seeking a Senior Workers’ Compensation Claims Adjuster to handle complex claims in Idaho. This is an excellent opportunity to join a stable, growing organization that values expertise, professionalism, and customer service.

COMPENSATION:

• Annual salary: $80,000 to $110,000/year (based on experience)
• Annual bonus potential
• Full medicals benefits
• Pension Plan

REQUIREMENTS:

• 5+ years of Workers’ Compensation claims adjusting experience; senior/complex claims handling strongly preferred.
• In-depth knowledge of Idaho Workers’ Compensation statutes and regulations.
• Strong negotiation, analytical, and problem-solving skills.
• Excellent communication and customer service skills.
• Ability to manage a high-volume caseload while maintaining accuracy and attention to detail.
• Insurance designations (e.g., AIC, CPCU) a plus.

RESPONSIBILITIES:

• Manage a caseload of complex Idaho Workers’ Compensation claims from initial investigation through resolution.
• Ensure compliance with Idaho state regulations and statutory requirements, including EDI reporting.
• Evaluate coverage, set and maintain reserves, and negotiate settlements in accordance with company best practices.
• Direct medical management, return-to-work initiatives, and utilization of nurse case managers and rehabilitation resources.
• Collaborate with policyholders, injured workers, medical providers, and legal counsel to achieve timely and appropriate claim outcomes.
• Oversee litigated files, develop litigation strategies, and manage outside counsel when necessary.
• Provide guidance and mentorship to junior adjusters and contribute to team development.
• Deliver exceptional customer service to insureds, brokers, and internal partners.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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