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Worker Compensation Claims Adjuster Jobs (NOW HIRING)

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Worker Compensation Adjuster - Rocklin

Rocklin, CA · On-site

$75K - $98K/yr

Worker Compensation Claims Adjuster Workers' Compensation Claims Adjuster - Assist a Dynamic Team in Rocklin We're seeking an experienced and motivated Workers' Compensation Claims Adjuster to assist ...

Brookfield

Workers' Compensation Claims Adjuster

Omaha, NE

$63K - $81K/yr

Workers' Compensation Claims Adjuster Employment Type: Regular FLSA Status: Exemptor Non-Exempt Location: In-Office Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster ...

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Worker Compensation Claims Adjuster information

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How much do worker compensation claims adjuster jobs pay per year?

As of Jul 28, 2026, the average yearly pay for worker compensation claims 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 does a workers' compensation claims adjuster do?

A workers' compensation claims adjuster investigates and evaluates workers' injury claims to determine coverage and appropriate benefits. They review medical records, interview involved parties, and assess liability to process claims efficiently, often using claims management software. The role requires strong communication skills and knowledge of insurance policies and regulations.

What are the key skills and qualifications needed to thrive as a Worker Compensation Claims Adjuster, and why are they important?

To excel as a Worker Compensation Claims Adjuster, you need a strong understanding of insurance regulations, claims investigation, and case management, usually supported by a relevant bachelor's degree or equivalent experience. Familiarity with claims management software, medical terminology, and sometimes an adjuster’s license or certification is often required. Excellent communication, negotiation, and analytical skills are vital for interacting with claimants, employers, and medical professionals. These skills are essential for ensuring accurate claims processing, minimizing fraud, and balancing the needs of all parties involved.

What are some common challenges faced by Worker Compensation Claims Adjusters and how can they be managed?

Worker Compensation Claims Adjusters often encounter challenges such as managing large caseloads, ensuring timely communication with all parties, and staying current with ever-changing state regulations. Balancing the needs of injured employees, employers, and healthcare providers requires strong organizational and interpersonal skills. Many adjusters find that leveraging case management software, participating in ongoing training, and prioritizing clear documentation help them address these challenges effectively and maintain a high standard of service.

Is claim adjusting a dying field?

Claim adjusting is a stable profession within the insurance industry, including workers' compensation claims. While automation and technology like claims management software are increasing, skilled adjusters are still needed to evaluate complex cases, negotiate settlements, and provide personalized service. The field continues to evolve but remains a viable career option for those with strong analytical and communication skills.

Is being a work comp adjuster hard?

Being a workers' compensation claims adjuster can be challenging due to the need for strong analytical skills, attention to detail, and the ability to handle sensitive situations. The job often involves reviewing medical reports, negotiating settlements, and working under deadlines, which can be demanding but manageable with proper training and experience.

What is the difference between Worker Compensation Claims Adjuster vs Insurance Claims Examiner?

AspectWorker Compensation Claims AdjusterInsurance Claims Examiner
CredentialsState-specific licensing, adjuster licenses, sometimes certifications like CPCUAdjuster licenses, industry certifications often preferred
Work EnvironmentAdjusts workers' compensation claims, often in offices or on-site at workplacesReviews and evaluates insurance claims, mainly office-based
Employer & IndustryEmployers include insurance companies, government agencies, and third-party administrators in workers' compensationInsurance companies, third-party administrators across various insurance lines

While both roles involve evaluating insurance claims, Worker Compensation Claims Adjusters focus specifically on workers' compensation cases, often requiring knowledge of state laws and workplace injury specifics. Insurance Claims Examiners handle a broader range of insurance claims across different policies. Both roles require licensing and similar skills but differ in their focus and work environment.

More about Worker Compensation Claims Adjuster jobs
What cities are hiring for Worker Compensation Claims Adjuster jobs? Cities with the most Worker Compensation Claims Adjuster job openings:
What states have the most Worker Compensation Claims Adjuster jobs? States with the most job openings for Worker Compensation Claims Adjuster jobs include:
What job categories do people searching Worker Compensation Claims Adjuster jobs look for? The top searched job categories for Worker Compensation Claims Adjuster jobs are:
Worker Compensation Claims Adjuster jobs near you
Infographic showing various Worker Compensation Claims Adjuster job openings in the United States as of July 2026, with employment types broken down into 97% Full Time, 1% Part Time, and 2% Contract. Highlights an 79% Physical, 8% Hybrid, and 13% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.
Worker's Compensation Claims Adjuster

Worker's Compensation Claims Adjuster

Service Insurance Companies

Austin, TX • Remote

$85K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

**This role is a remote position based in the United States. Applicants must be authorized to work for ANY employer in the U.S. Visa Sponsorship is not available.**

Service Insurance Companies is on the search for a Worker's Compensation Claims Adjuster, to join the team!

  • Applicants must have a minimum of 3-5 years experience with Workers Compensation Claims and have a multistate license that includes California.

The claims adjuster will Investigate, analyze, and determine the extent of company's liability concerning workers compensation claims and attempt to achieve appropriate claim resolution as allowed within each States jurisdiction. Correspond with or interview medical specialists, agents, witnesses, insured’s and/or claimants to compile information and determine claim compensability. Calculate benefit payments and approve payment of claims within your assigned claim authority. All tasks are to be performed with the goal of demonstrating superior claims handling expertise.

Responsibilities:

  • Review and handle claims in multiple jurisdictions.
  • Under technical direction, works within limits and authority on assignments of higher technical complexity and coordination.
  • Responsible for claims management of assigned cases within guidelines of Company performance standards.
  • Opens new claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or company’s timeframes and guidelines.
  • Maintain appropriate case reserves utilizing the corporate philosophy of establishing the ultimate probable exposure on each claim generally within the first 6 months of the life of a claim but no later than 12 months from received date of loss.
  • Ensure all reinsurance reports are prepared thoroughly, accurately with clear language making it easy for reinsurers to understand and all reports are submitted within 30 days of their due date.
  • Follows appropriate procedures for system documentation to preserve data integrity.
  • Creates and executes action plans needed to bring claims to closure.
  • Completes detailed claim resolution plans and recommends appropriate plan of action, within authority.
  • Maintains regular contact with injured workers, insured employers and agents to develop positive relationships and establish credibility.
  • Provides meaningful participation in Large Loss review meetings to improve other departments understanding of claims processes generally and for the specific claim under review.
  • Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
  • Works productively and harmoniously with others on a consistent basis.
  • Responds positively to direction and criticism of performance.
  • Consistently maintain professional and appropriate demeanor.
  • Conducts training and mentors new hires.
  • Perform other duties as assigned.
  • Possesses a higher and more extensive level of industry claim knowledge and skills on a National level.
  • Administers and monitors rules, guidelines, insurance laws, and regulations.
  • Maintain a high degree of trust through demonstrated personal integrity and ethical behavior.
  • Works in collaboration with Vice President of claims, Claims Manager and Claims Supervisor.
  • Responsible to maintain current on industry technical knowledge and skills.

Experience, Knowledge & Skills:

  • Minimum of 3 to 5 years workers’ compensation claims handling experience required in multiple states.
  • Must hold a valid multi-state license that includes California.
  • National exposure in claims handling/compliance is a plus.
  • Strong verbal and written communication skills with emphasis on telephone communication required.
  • Strong math and reading skills required.

Professional Qualifications:

  • Bachelor’s degree or equivalent combination of training/experience required.
  • Meets all state regulatory standards regarding licensing, continuing education, and other requirements.

Benefits:

  • Service Insurance Companies Offers a competitive benefits package including:
  • Healthcare: Medical, Dental & Vision
  • Voluntary Benefits: Life & Disability Insurance
  • Pet Insurance
  • 401K Matching
  • Generous paid time off & holidays
  • Tuition Reimbursement & training
  • Group discounts available