Workers Compensation Claims Adjuster II

Job Description

Job Description

Are you a compassionate problem-solver who excels at guiding people through challenging situations? We’re seeking an experienced Workers’ Compensation Claims Adjuster II to manage the full life cycle of claims, ensuring fair, timely, and compliant resolutions. This role is ideal for a detail-oriented professional who can balance empathy with precision while handling complex cases.

If you’re ready to take the next step in your claims career, we want to hear from you!

Compensation :

Salary : $60,000–$75,000 annually, based on experience

Company highlights :

Competitive salary with performance-based incentives.

Comprehensive benefits, including health, dental, vision, life insurance, and wellness programs.

Flexible PTO, scheduling options, and telecommuting opportunities.

Ability to work hybrid after training.

Retirement planning support with 401(k) education programs.

Ongoing training and career development opportunities.

Team-oriented culture that values collaboration, respect, and professional growth.

Key Responsibilities of the Workers' Compensation Claims Adjuster II :

Investigate claims thoroughly to determine compensability using all available resources.

Develop and implement effective claim resolution strategies, consulting management as needed.

Support safe and timely return-to-work programs, coordinating medical care aligned with accepted injuries.

Apply medical knowledge to evaluate treatment plans and resources.

Negotiate disputed claims and assist with minor litigated cases.

Maintain compliance with Claims Quality Guidelines, regulatory requirements, and licensing obligations.

Accurately set reserves and issue timely payments, including projected future benefits.

Identify and manage potential exposures such as Medicare early in the claim process.

Qualifications of the Workers' Compensation Claims Adjuster II :

Bachelor’s degree or 3–5 years of workers’ compensation claims experience.

Strong knowledge of WC law, claims processes, and medical treatment guidelines.

Proficiency in Microsoft Office and claims management software.

Excellent communication, negotiation, and decision-making skills.

Demonstrated empathy, professionalism, and a customer-focused mindset.

Reliable transportation for occasional 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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