Senior New Mexico Workers Compensation Claims Adjuster

Oregon Workers' Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced New Mexico Workers' Compensation Claims Adjuster to join a team. This is a fully remote position; The ideal candidate will have a strong background in managing New Mexico workers' compensation claims, ensuring compliance with state statutes and administrative rules, and delivering exceptional customer service.

Compensation Package

• Salary: $80,000 - $90,000 per year
• Bonus: 5% annual target bonus
• Benefits: Comprehensive medical benefits package, 401(k) with company match, and more

Responsibilities

• Manage a caseload of 90-100 New Mexico workers' compensation claims, ensuring compliance with state statutes and administrative rules.
• Conduct thorough investigations, including recorded statements, wage calculations, compensability decisions, and reserve evaluations.
• Coordinate medical treatment, return-to-work efforts, and vocational services as needed.
• Maintain accurate and timely documentation throughout the life of each claim.
• Collaborate with employers, attorneys, nurse case managers, and medical providers to achieve efficient claim outcomes.
• Negotiate settlements and attend mediations or hearings when necessary.
• Ensure all regulatory timeframes and reporting requirements are met, including 801/827 forms and 1502 filings.
• Handle multiple accounts and manage some litigation cases.

Qualifications/Requirements

• Minimum of 5 years of experience handling New Mexico workers' compensation claims.
• Experience handling claims in multiple jurisdictions is a plus
• Strong knowledge of NM workers' compensation statutes and administrative rules.
• Excellent communication, negotiation, and organizational skills.
• Ability to work independently in a remote environment while managing a high-volume caseload.

#LI-MW1