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Senior Workers' Compensation Adjuster Jobs (NOW HIRING)

Brookfield

$48.65/hr

TEMP - Senior Workers' Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote Summary: We are looking for a highly capable Senior ...

Brookfield

$48.65/hr

TEMP - Senior Workers' Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote Summary: We are looking for a highly capable Senior ...

AVONRISK

Workers Compensation Adjuster - Orange

Orange, CA · On-site

$76K - $95K/yr

Workers Compensation Adjuster III Summary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance ...

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How much do senior workers' compensation adjuster jobs pay per year?

As of Aug 7, 2026, the average yearly pay for senior workers' compensation adjuster in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

What is a senior workers' compensation adjuster?

Senior Workers' Compensation Adjusters are experienced insurance professionals who handle and manage complex workers' compensation claims. They investigate workplace injury claims, determine the validity of each claim, calculate appropriate benefits, and negotiate settlements with employees, employers, and medical providers. Their responsibilities also include ensuring compliance with state laws and company policies, maintaining thorough documentation, and sometimes mentoring junior adjusters. Their expertise helps protect both injured workers’ rights and employers’ interests during the claims process.

What is the difference between Senior Workers' Compensation Adjuster vs Workers' Compensation Adjuster?

AspectSenior Workers' Compensation AdjusterWorkers' Compensation Adjuster
CertificationsTypically required to have adjuster licenses, sometimes advanced certificationsRequire state licensing and basic adjuster certifications
Work EnvironmentMore complex claims, mentorship roles, higher responsibilityHandling standard claims, entry to mid-level responsibilities
Employer UsageOften employed by large insurers or third-party administratorsCommonly employed across various insurance companies and agencies

The main difference between a Senior Workers' Compensation Adjuster and a Workers' Compensation Adjuster lies in experience, responsibility, and complexity of claims handled. Senior adjusters manage more complex cases, provide guidance to junior staff, and often have advanced certifications. Both roles require licensing and industry knowledge, but senior positions demand greater expertise and leadership within the workers' compensation field.

What are some common challenges faced by senior workers' compensation adjusters, and how can they be managed effectively?

Senior Workers' Compensation Adjusters often encounter challenges such as managing complex claims, balancing large caseloads, and staying current with changing regulations. Effective time management, strong negotiation skills, and regular communication with employers, medical providers, and legal professionals are essential for overcoming these obstacles. Additionally, leveraging case management software and participating in ongoing training can help adjusters stay organized and ensure accurate, timely claim resolutions.

What are the key skills and qualifications needed to thrive as a senior workers' compensation adjuster?

To thrive as a Senior Workers' Compensation Adjuster, you need in-depth knowledge of workers' compensation laws, claim investigation, and case management, typically supported by relevant experience and industry certifications such as AIC or CPCU. Proficiency with claims management software, medical billing systems, and legal research tools is essential. Strong negotiation, analytical thinking, and effective communication skills help you resolve claims efficiently and work collaboratively with employers, medical providers, and legal representatives. These skills ensure fair, timely claim resolutions while minimizing risk and maintaining regulatory compliance.
More about Senior Workers Compensation Adjuster jobs
What cities are hiring for Senior Workers' Compensation Adjuster jobs? Cities with the most Senior Workers' Compensation Adjuster job openings:
What states have the most Senior Workers' Compensation Adjuster jobs? States with the most job openings for Senior Workers' Compensation Adjuster jobs include:
What job categories do people searching Senior Workers' Compensation Adjuster jobs look for? The top searched job categories for Senior Workers' Compensation Adjuster jobs are:
Senior Workers Compensation Adjuster jobs near you
Infographic showing various Senior Workers' Compensation Adjuster job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Hybrid job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Senior Workers Compensation Claims Adjuster

INSURICA, Inc

Marble Falls, TX • On-site

$75K - $112K/yr

Full-time

Posted 8 days ago

Insurica rating

8.7

Company rating: 8.7 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

69th of 303 rated insurance

Job description

Job Summary
The Worker's Compensation Claims Adjuster will manage a caseload of approximately 150 open claims, exercising good judgment while resolving claims according to our established procedures and best claims practices, in accordance with statutory, regulatory, and ethics requirements.
Job Functions
  • Receive and review initial workers' compensation claims, verifying the accuracy and completeness of claim forms and supporting documentation
  • Conduct thorough investigations to determine validity and extent of injury; interview the injured employee, employer(s) and any witnesses, as well as review medical reports, and accident reports to determine causality and compensability
  • Effectively communicate with the injured worker, employer(s), medical professionals and legal representatives, as needed, providing ongoing updates and information to all parties involved in the claim process
  • Make appropriate determinations on the approval or denial of claims, based on investigation findings and applicable laws; calculate correct benefit amounts, including medical expenses, wage replacement and any other necessary compensation
  • Manage and monitor open claims to ensure timely and appropriate processing; coordinate return-to-work programs and rehabilitation services
  • Effectively maintain detailed and accurate records for each claim; prepare and submit required documentation and reports to regulatory bodies
  • Timely initiation, maintenance, and termination of temporary, impairment, and supplemental income benefits
  • Identify and pursue subrogation when there is 3rd party negligence, and negotiate a fair settlement for all parties involved
  • Address and resolve any disputes or issues that arise during the claim process
  • Serve as a subject matter expert and mentor to Workers' Compensation Claims Adjuster staff members, providing guidance and direction, as needed, for difficult or unusual claims or client situations
  • Review all activities relating to the public, customers, and companies to avoid issues involving potential errors and omissions and ensure compliance with workers' compensation laws and regulations
  • Participate in seminars and other training to maintain required licenses and for knowledge and skill development

Additional Responsibilities
This job description is intended to describe the level of work required of the person performing the position. Essential functions are outlined; however, other duties may be assigned, as needs arise, or as required to support the essential functions. Specific performance objectives may be developed each year to measure the performance of the tasks and functions listed in this job description.
Remote work opportunities vary by location, department, and business need and are subject to change, as needed. Each manager will provide details on any telecommuting opportunities, as well as scheduling, within their department
Job Requirements
  • 5 - 7 years of previous workers' compensation claims handling experience preferred
  • Possession of a current Texas Workers' Compensation Adjuster License or an All-Lines Adjuster License ris equired
  • Spanish language skills (speak and understand) preferred, but not required

Knowledge, Skills, and Abilities
  • Strong judgment and decision-making skills, with the ability to effectively analyze claims exposure to determine the proper course of action
  • Extensive knowledge of Workers' Compensation law, industry standards and medical and legal terminology
  • Strong working knowledge of the Texas Workers' Compensation Act, including specific rules and case law
  • Strong working knowledge of various medical services normally provided to injured workers
  • Knowledge of EDI (Reporting requirements for the State of Texas)
  • Excellent organizational skills, demonstrating attention to detail, accuracy and ability to meet deadlines
  • Ability to work within a fast-paced, changing priority environment
  • Self-motivated, with the initiative to prioritize and be self-directed
  • Regular and punctual attendance is required
  • Ability to communicate effectively, both verbally and in writing,
  • Excellent interpersonal skills, with the ability to interact effectively with both colleagues and managers, across all levels
  • Ability to promote and maintain a team environment, willing to find accommodating solutions for our customers, companies, and the Agency
  • Ability to successfully adhere to company policies and procedures, as well as maintain strict confidentiality

Work Conditions
  • Ability to perform approximately 90% sedentary work, exerting up to 10 pounds of force occasionally, and negligible force frequently
  • Ability to lift up to 20 pounds, occasionally
  • Requires operation of a computer workstation, including keyboard and video display
  • All requirements may be modified to reasonably accommodate physical or mental impairment

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