Claims Adjuster - Workers Compensation

About Pie Insurance

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Our team is composed of diverse builders, dreamers, and entrepreneurs driven by core values and principles.

Role Overview: Claims Adjuster - Workers Compensation

The Claims Adjuster will deliver quality claim file management and an industry-leading customer claims experience by adhering to Pie’s Claims Best Practices and regulatory requirements. This role involves working with internal and external partners to mitigate claim exposure and negotiate favorable settlements.

How You’ll Do It

• Claims Technical Management: Manage workers’ compensation claims from setup to closure.
• Conduct timely investigations and adjust reserves accurately.
• Mitigate claim exposure and negotiate settlements.
• Administer statutory benefits and control legal activities.
• Identify early resolution opportunities and optimize outcomes.

Claims Customer Service

• Serve as a point of contact for agents and customers.
• Provide claim status updates, coverage verification, and reports.
• Deliver excellent customer service and drive top-notch claims experience.
• Collaborate with TPA adjusters and claims partners.
• Continuously improve processes and claim service protocols.

The Right Stuff

Must have a high school diploma, with a preference for Bachelor’s Degree or equivalent experience. A minimum of 2-years workers’ compensation claims experience in multiple states is required. The role demands strong communication, problem solving, and the ability to work independently. Experience in claim adjudication, medical management, litigation management, and using G-Suite/Slack is preferred.

AI in Application Review

Pie Insurance uses AI-powered tools for initial screening and video interview assessments, subject to human oversight.

Compensation & Benefits

• Base Salary: $70,000—$90,000 USD.
• Competitive cash compensation and equity.
• Comprehensive health plans and generous PTO.
• 401k match and parental/caregiver leave.
• Discretionary bonuses based on company performance.

Location Information

This is a remote role for candidates living and working in the United States.

Key skills/competency

Claims Management, Workers Compensation, Investigation, Regulatory Compliance, Customer Service, Litigation Management, Reserve Setting, Communication, Problem Solving, Risk Mitigation