Senior Lost Time Claims Adjuster

Position Summary The Senior Claims Adjuster independently manages complex, high-exposure, and litigated Workers’ Compensation lost-time claims in assigned jurisdictions, including Pennsylvania, Delaware, and New Jersey. The role applies advanced compensability, medical, disability, reserving, litigation, settlement, and regulatory knowledge to develop and execute claim strategies through timely and cost-effective resolution. The Senior Claims Adjuster also serves as a technical resource, supports client relationships, mentors developing adjusters, and contributes to claim quality and continuous improvement initiatives. Role Distinction This is an advanced individual-contributor position. The Senior Claims Adjuster is expected to perform the complete Lost Time Adjuster role independently while demonstrating broader technical judgment, ownership of complex files, client-facing capability, mentoring, and measurable contribution to team performance. The position does not include formal supervisory authority unless separately assigned. Key Responsibilities Independently investigate, evaluate, and manage complex, high-exposure, and litigated Workers’ Compensation lost-time claims through resolution. Determine compensability by conducting timely investigations, obtaining recorded statements, reviewing claim facts and employment information, and applying jurisdictional requirements. Develop, document, and regularly update strategic action plans addressing compensability, medical trea