Sr. Claims Analyst

Senior Claims Adjuster

We're seeking an experienced and skilled professional to adjust Workers Compensation claims for our programs and captives. We are an active participant in the programs we administer, and we expect our staff to be passionate about building strong relationships, taking care of injured employees and supporting the success of our client companies. We maintain manageable workloads and small spans of supervision to devote the time and oversight needed to support our clients and their injured employees.

The Senior Claims Adjuster investigates, evaluates, and resolves workers' compensation claims within authority for construction companies and other businesses in our Captive Insurance Programs. Duties include working closely with our client companies in the investigation and evaluation of compensability, medical, and lost time claims, to promptly pay what is owed subject to statutory requirements and best practices. This individual will be responsible for all aspects of their claims to ensure correct compensability, reserving, and resolution is realized through individual direction and vendor usage, while adhering to company Best Practices and carrier guidelines.

Your Impact :

• Oversee the handling of all aspects of the claims assigned within authority, including investigation, reserving, documentation, evaluation, medical management, statutory compliance and resolution.
• Manage litigation, compensability, and medical issues within statutory requirements.
• Establish claim reserves based on most likely outcome of a claim with the known facts and investigation utilizing company standards and experience.
• Utilize all available medical management tools and partners to ensure each injured worker gets the appropriate level of care, towards the best possible outcome through authorization of appropriate treatment plans and accurate billing.
• Partner with internal and external legal counsel on litigated or questionable cases. Build strong relationships while ensuring sound legal plans are executed within jurisdictional requirements and financial accountability.
• Proactively handle claims with consistent documentation and execution of agreed-upon action plans and strategy.
• Demonstrate critical thinking and decision-making skills, to oversee, manage and direct claim processes in a fast-paced environment, while maintaining effective and professional relationships with all stakeholders.
• Meet claim handling quality and service standards with timely reporting and presentation of claims to clients, carriers and reinsurers.

Successful Candidates Will Have :

One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel / accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2024, One80 Intermediaries was ranked the 14th largest broker in the U.S. by Business Insurance. In 2025, One80 Intermediaries earned the Great Place To Work Certification for the second consecutive year.

One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Learn more about working at One80 Intermediaries by visiting our careers page : www.one80.com / careers.

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