Compensation adjuster job description
Updated March 14, 2024
9 min read
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Example compensation adjuster requirements on a job description
Compensation adjuster requirements can be divided into technical requirements and required soft skills. The lists below show the most common requirements included in compensation adjuster job postings.
Sample compensation adjuster requirements
- Bachelor's degree in Business, Economics, Accounting or related field.
- Experience with business software and analytics.
- Proficiency in MS Office Suite, especially Excel.
- Knowledge of salary and compensation structures.
- Understanding of relevant labor laws and regulations.
Sample required compensation adjuster soft skills
- Strong analytical and problem-solving skills.
- Excellent communication and negotiation skills.
- Ability to work independently and as part of a team.
- Flexibility to work in a fast-paced environment.
Compensation adjuster job description example 1
Texas Mutual Insurance compensation adjuster job description
We're excited you're considering joining a great place to work!
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
Job Description Summary
As an adjuster, you will conduct claim investigations and administer benefits to injured workers and/or their beneficiaries in accordance with the Texas Workers' Compensation Act, rules of the Division of Workers' Compensation (DWC), and internal policies and procedures. You will work under general supervision and report to the Supervisor of Claims. You will also enjoy two work-from-home days on Monday and Friday each week and have the option of a flexible M-F work schedule within primary business hours. In addition, you will enjoy the opportunity to work remote up to ten days per year from anywhere in the U.S.
Responsibilities & Qualifications
What you can expect as an adjuster:
You will administer workers' compensation benefits to injured workers.Conduct investigations for coverage and compensability, establish and maintain appropriate reserves, and make appropriate recommendations on claims.Manage established claims on an ongoing basis.Ensure regulatory compliance and proper handling of claims.Demonstrate a high level of proficiency in claim file management, work effectiveness, interpersonal skills and customer service.
What you need to be successful as an adjuster:
Bachelor's degree or equivalent education, training, or experience.0 - 2 years of experience adjusting workers' compensation claims required for Level I; a range of 2 - 4 years of experience adjusting workers' compensation claims required for Level II; a range of 4 - 6 years of experience adjusting workers' compensations claims required for Senior Level. Or equivalent education, training, or experience for all levels.Current Texas workers' compensation or all lines adjuster license.
Flex-Hybrid Work Environment:
Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by either working remotely or collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
Flex- hybrid work environment for most positions Performance bonus Professional development and tuition reimbursement Automatic 4% employer contribution to retirement plan 401k plan with 100% employer match up to 6%Three weeks' time off for vacation Generous sick, holiday and volunteer time off Day one health, Rx, vision and dental insurance Life and disability insurance Flexible spending account Pet coverage and pet Rx discounts Free on-site gym, fitness classes, and health and wellness resources Free identity theft protection Free 2nd medical opinion service Free student loan repayment and refinancing consultation
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
Job Description Summary
As an adjuster, you will conduct claim investigations and administer benefits to injured workers and/or their beneficiaries in accordance with the Texas Workers' Compensation Act, rules of the Division of Workers' Compensation (DWC), and internal policies and procedures. You will work under general supervision and report to the Supervisor of Claims. You will also enjoy two work-from-home days on Monday and Friday each week and have the option of a flexible M-F work schedule within primary business hours. In addition, you will enjoy the opportunity to work remote up to ten days per year from anywhere in the U.S.
Responsibilities & Qualifications
What you can expect as an adjuster:
You will administer workers' compensation benefits to injured workers.Conduct investigations for coverage and compensability, establish and maintain appropriate reserves, and make appropriate recommendations on claims.Manage established claims on an ongoing basis.Ensure regulatory compliance and proper handling of claims.Demonstrate a high level of proficiency in claim file management, work effectiveness, interpersonal skills and customer service.
What you need to be successful as an adjuster:
Bachelor's degree or equivalent education, training, or experience.0 - 2 years of experience adjusting workers' compensation claims required for Level I; a range of 2 - 4 years of experience adjusting workers' compensation claims required for Level II; a range of 4 - 6 years of experience adjusting workers' compensations claims required for Senior Level. Or equivalent education, training, or experience for all levels.Current Texas workers' compensation or all lines adjuster license.
Flex-Hybrid Work Environment:
Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by either working remotely or collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
Flex- hybrid work environment for most positions Performance bonus Professional development and tuition reimbursement Automatic 4% employer contribution to retirement plan 401k plan with 100% employer match up to 6%Three weeks' time off for vacation Generous sick, holiday and volunteer time off Day one health, Rx, vision and dental insurance Life and disability insurance Flexible spending account Pet coverage and pet Rx discounts Free on-site gym, fitness classes, and health and wellness resources Free identity theft protection Free 2nd medical opinion service Free student loan repayment and refinancing consultation
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Compensation adjuster job description example 2
State Auto Insurance compensation adjuster job description
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Summary & Key Responsibilities
The most important decision in the life of a claim is the compensability decision. In this role you will provide and ensure accurate and timely investigation and liability determination of our high risk claims in multiple jurisdictions. You will do this by taking statements from the employer, medical provider and recorded statements of the injured worker. Your role is to define the facts, apply the jurisdictional law to the facts and determine eligibility for benefits. You will do this while providing superior service to our clients.
Key Responsibilities:
Determines policy status and coverage; reviews appropriate policies and endorsements for coverage, limits, and deductibles; immediately notify manager of any claim that may be outside of assigned scope of handling, level, or authority.Makes prompt contact with policyholders, claimants, witnesses, and other parties involved in the loss to set expectations, develop an action plan, and perform an initial exposure assessment.Conducts an investigation to determine coverage, liability, and damages, including recorded statements and coordination of field inspections or experts when necessary based on Department Best Practices.Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion while keeping the customer informed throughout the life cycle of the claim process.Maintains electronic records that accurately and thoroughly document all file handling activity. May be called upon to perform additional duties as directed.
Minimum Experience/Education:
Up to three years of professional experience. Previous experience within the insurance or financial services industries is preferred.High School diploma or equivelant required. Post-secondary education preferred.Current adjuster licensure or the ability to obtain within 90 days of hire.Basic computer skills required. Experience with Microsoft and Google applications preferred.
Communication and Collaboration Skills:
Professional oral and written communication skills are critical to the success of this position. All claims service must be handled with tact, diplomacy and courtesy at all times.
Must be able to collaborate and develop strong team relationships with associates from within and outside the Claims Department.
Customer centric with exceptional customer service skills.
Technical Knowledge:
Must have comprehensive knowledge and understanding of insurance policies and endorsements, as well as the ability to understand complex documents, contracts, and other legal documents.
Problem Solving:
Gather facts and draw conclusions, interpret complex requirements/issues and work independently. The individual must be able to identify and implement key opportunities while researching potential solutions.
About us:
State Auto offers a competitive salary, an annual bonus program, an excellent benefits program including medical, dental, vision and prescription insurance coverage, life insurance, matching 401(k) plan, flexible spending accounts and tuition assistance.
State Auto is committed to the principle of equal employment opportunity for all associates and applicants and to providing associates with a work environment that is free from discrimination and harassment. All employment decisions (hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training and work assignments) are based on business needs, job requirements and individual qualifications without regard to race, color, religion, gender, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, citizenship status, military status, or status as a covered veteran in accordance with applicable federal, state and local laws. State Auto will not tolerate discrimination or harassment based on any of these characteristics.
State Auto is a smoke-free work environment. We utilize drug screening and background checks as conditions of employment. For all exempt positions we also obtain motor vehicle reports (MVR s).
State Auto will not accept candidates from third-party recruiters without a signed agreement with State Auto.
#SA-LI
Full Time / Part Time
Full time
Worker Sub-Type
Regular
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
We're committed to bringing passion and customer focus to the business.
Summary & Key Responsibilities
The most important decision in the life of a claim is the compensability decision. In this role you will provide and ensure accurate and timely investigation and liability determination of our high risk claims in multiple jurisdictions. You will do this by taking statements from the employer, medical provider and recorded statements of the injured worker. Your role is to define the facts, apply the jurisdictional law to the facts and determine eligibility for benefits. You will do this while providing superior service to our clients.
Key Responsibilities:
Determines policy status and coverage; reviews appropriate policies and endorsements for coverage, limits, and deductibles; immediately notify manager of any claim that may be outside of assigned scope of handling, level, or authority.Makes prompt contact with policyholders, claimants, witnesses, and other parties involved in the loss to set expectations, develop an action plan, and perform an initial exposure assessment.Conducts an investigation to determine coverage, liability, and damages, including recorded statements and coordination of field inspections or experts when necessary based on Department Best Practices.Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion while keeping the customer informed throughout the life cycle of the claim process.Maintains electronic records that accurately and thoroughly document all file handling activity. May be called upon to perform additional duties as directed.
Minimum Experience/Education:
Up to three years of professional experience. Previous experience within the insurance or financial services industries is preferred.High School diploma or equivelant required. Post-secondary education preferred.Current adjuster licensure or the ability to obtain within 90 days of hire.Basic computer skills required. Experience with Microsoft and Google applications preferred.
Communication and Collaboration Skills:
Professional oral and written communication skills are critical to the success of this position. All claims service must be handled with tact, diplomacy and courtesy at all times.
Must be able to collaborate and develop strong team relationships with associates from within and outside the Claims Department.
Customer centric with exceptional customer service skills.
Technical Knowledge:
Must have comprehensive knowledge and understanding of insurance policies and endorsements, as well as the ability to understand complex documents, contracts, and other legal documents.
Problem Solving:
Gather facts and draw conclusions, interpret complex requirements/issues and work independently. The individual must be able to identify and implement key opportunities while researching potential solutions.
About us:
State Auto offers a competitive salary, an annual bonus program, an excellent benefits program including medical, dental, vision and prescription insurance coverage, life insurance, matching 401(k) plan, flexible spending accounts and tuition assistance.
State Auto is committed to the principle of equal employment opportunity for all associates and applicants and to providing associates with a work environment that is free from discrimination and harassment. All employment decisions (hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training and work assignments) are based on business needs, job requirements and individual qualifications without regard to race, color, religion, gender, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, citizenship status, military status, or status as a covered veteran in accordance with applicable federal, state and local laws. State Auto will not tolerate discrimination or harassment based on any of these characteristics.
State Auto is a smoke-free work environment. We utilize drug screening and background checks as conditions of employment. For all exempt positions we also obtain motor vehicle reports (MVR s).
State Auto will not accept candidates from third-party recruiters without a signed agreement with State Auto.
#SA-LI
Full Time / Part Time
Full time
Worker Sub-Type
Regular
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Dealing with hard-to-fill positions? Let us help.
Compensation adjuster job description example 3
Erie Insurance compensation adjuster job description
Division or Field Office:
Claims Division
Department of Position: Corporate Claims Department
Work from:
Home in NC or KY
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. To attract and retain the best talent, we reward our team members with competitive salaries and a very generous benefits package.
Position Summary
Responsible for handling Worker's Compensation claims within designated authority, exercising discretion and independent judgement in the decision-making process on all claims assigned.
Duties and Responsibilities
Handles workers' compensation claims, including fatalities and possible complex claims. Investigates and determines compensability and evaluates and makes recommendations regarding coverage of claims. Conducts field investigations as necessary, determines total value of claims, including anticipated time off and settlement exposure, establishes and maintains adequate reserves, manages cases and prepares related correspondence and reports. Maintains all records and related materials. Reviews claims files on a regular basis and takes necessary follow-up and/or closing action.
Establishes immediate contact with policyholders, claimants and medical providers. Contacts agents as necessary.
Evaluates and resolves coverage questions, exercising discretion and independent judgement and in compliance with applicable workers compensation law.
Receives, processes and takes appropriate action on claim-related communications, including bills, medical reports, specialist investigative reports, telephone calls and legal documents in litigated claims. Determines claims to be paid, compromised or contested.
Coordinates activities with rehabilitation specialist on seriously injured claimants and refers special risk situations to commercial underwriting.Notifies company investigative services of cases involving suspected fraud.
Negotiates settlements with petitioner's counsel, referring to defense counsel when appropriate. Works in partnership with defense counsel in formulating plan of action in litigated claims. Attends hearings and mediations as required.
Participates in informal presentations to Agents and Policyholders.
Assigns, monitors, and controls activities of vendors in a cost-effective manner.
Attends industry-related training programs to stay current on legal developments and ensure compliance with applicable laws and regulations impacting the operation of the department.
Assists or acts on behalf of the Worker's Compensation Claims Supervisor when required.
Competencies
Self-Development
Detail Orientation
Collaborates
Cultivates Innovation
Instills Trust
Information Management Skills
Decision Quality
Values Diversity
Job-Specific Knowledge
Nimble Learning
Customer Focus
Optimizes Work Processes
Ensures Accountability
Qualifications
High School diploma or GED required. Bachelor's degree preferred.
Five years of previous workers' compensation claims handling experience, including a strong working knowledge of applicable state laws required. Strong working knowledge of medical bill processing required. Successful completion of AIC37, AIC44 and medical interpretation courses preferred.
Willingness to obtain and maintain any required licenses. Valid driver's license required.
Physical Requirements
Lifting 0-20 lbs; Occasional (
Lifting 20-50 lbs; Occasional (
Lifting Over 50 lbs; Occasional (
Driving; Rarely
Pushing/Pulling; Occasional (
Manual Keying/Data Entry; Often (20-50%)
Climbing; Rarely
Nearest Major Market:
Raleigh
Claims Division
Department of Position: Corporate Claims Department
Work from:
Home in NC or KY
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. To attract and retain the best talent, we reward our team members with competitive salaries and a very generous benefits package.
Position Summary
Responsible for handling Worker's Compensation claims within designated authority, exercising discretion and independent judgement in the decision-making process on all claims assigned.
- The successful candidate will ideally live in NC or KY and work from home.
- The Hiring Manager will also consider candidates for a Workers Compensation Adjuster I. Level of position offered will be based upon the depth and breadth of selected candidate's experience and qualifications.
Duties and Responsibilities
Handles workers' compensation claims, including fatalities and possible complex claims. Investigates and determines compensability and evaluates and makes recommendations regarding coverage of claims. Conducts field investigations as necessary, determines total value of claims, including anticipated time off and settlement exposure, establishes and maintains adequate reserves, manages cases and prepares related correspondence and reports. Maintains all records and related materials. Reviews claims files on a regular basis and takes necessary follow-up and/or closing action.
Establishes immediate contact with policyholders, claimants and medical providers. Contacts agents as necessary.
Evaluates and resolves coverage questions, exercising discretion and independent judgement and in compliance with applicable workers compensation law.
Receives, processes and takes appropriate action on claim-related communications, including bills, medical reports, specialist investigative reports, telephone calls and legal documents in litigated claims. Determines claims to be paid, compromised or contested.
Coordinates activities with rehabilitation specialist on seriously injured claimants and refers special risk situations to commercial underwriting.Notifies company investigative services of cases involving suspected fraud.
Negotiates settlements with petitioner's counsel, referring to defense counsel when appropriate. Works in partnership with defense counsel in formulating plan of action in litigated claims. Attends hearings and mediations as required.
Participates in informal presentations to Agents and Policyholders.
Assigns, monitors, and controls activities of vendors in a cost-effective manner.
Attends industry-related training programs to stay current on legal developments and ensure compliance with applicable laws and regulations impacting the operation of the department.
Assists or acts on behalf of the Worker's Compensation Claims Supervisor when required.
Competencies
Self-Development
Detail Orientation
Collaborates
Cultivates Innovation
Instills Trust
Information Management Skills
Decision Quality
Values Diversity
Job-Specific Knowledge
Nimble Learning
Customer Focus
Optimizes Work Processes
Ensures Accountability
Qualifications
High School diploma or GED required. Bachelor's degree preferred.
Five years of previous workers' compensation claims handling experience, including a strong working knowledge of applicable state laws required. Strong working knowledge of medical bill processing required. Successful completion of AIC37, AIC44 and medical interpretation courses preferred.
Willingness to obtain and maintain any required licenses. Valid driver's license required.
Physical Requirements
Lifting 0-20 lbs; Occasional (
Lifting 20-50 lbs; Occasional (
Lifting Over 50 lbs; Occasional (
Driving; Rarely
Pushing/Pulling; Occasional (
Manual Keying/Data Entry; Often (20-50%)
Climbing; Rarely
Nearest Major Market:
Raleigh
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Updated March 14, 2024
Updated March 14, 2024