Job Description

Our Workers Compensation Claims team is currently seeking a Senior Adjuster with a focus on Oregon jurisdictions. This is a full-time, exempt position with a remote work schedule, RESIDING IN THE STATE OF OREGON.
POSITION OVERVIEW:
Responsible for the investigation, negotiation and resolution of claims in accordance with policy provisions, best practices and jurisdictional requirements Includes the input of claim data and guiding insureds and claimants through the claim process and options.
IN THIS ROLE, YOU WILL:

• Work within significant limits and authority on assignments of higher technical complexity and coordination.
• Use discretion and independent judgment in claim handling.
• Possess demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels.
• Claims handled will be of greater complexity, severity, and exposures, including litigation, and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverages.
• Identify possibly suspicious claims.
• Responsible for managing all aspects of each claim, including informal hearings and small claims litigation and maintaining a high level of productivity, confidentiality and customer service.
• Authority levels are higher in recognition of the higher proficiency associated with this level.
• Take recorded statements.
• Work with the Special Investigations Unit to resolve and negotiate settlement.

WHAT YOU NEED TO APPLY:

• Prior experience adjusting Oregon WC claims.
• Must have residence in the state of Oregon.
• Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits.
• Typically has 3 - 10 years experience.
• Possesses strong customer service skills and behaviors.
• Makes decisions in an informed, confident and timely manner.
• Maintains constructive working relationships despite differing perspectives.
• Strong organizational and time management skills.
• Ability to negotiate skillfully in difficult situations with both internal and external groups Demonstrates ability to win concessions without damaging relationships.
• Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
• Understanding of applicable statutes, regulations and case law.
• Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
• Easily adapts to new or different changing situations, requirements or priorities.
• Cultivates an environment of teamwork and collaboration.
• Operates with latitude for un-reviewed action or decision.
• Computer experience (MS Office, excels, word, etc.).
• Proficient using Claims systems (i.e. CSS, PMS, etc.).
• Ability to use a personal computer and other standard office equipment.
• May be required to have and maintain sufficient home-based internet connection.
• Ability to travel as necessary.
• Ability to sit and/or stand for extended periods.

This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.

Skills Required