What are the responsibilities and job description for the Workers Compensation Adjuster - New Mexico position at Questpro?
Workers' Compensation Adjuster
Questpro has partnered with a well-established leader in claims management to find an experienced Workers' Compensation Adjuster handling New Mexico claims (License Required), our preference is someone with experience working for or at a TPA. Our client is redefining how risk is managed and claims are handled, and this role sits at the center of that work — every claim tells a story, and you'll be the voice behind it. This is a remote role, ideally in New Mexico but open to surrounding states as well.
Performance Objectives
Questpro has partnered with a well-established leader in claims management to find an experienced Workers' Compensation Adjuster handling New Mexico claims (License Required), our preference is someone with experience working for or at a TPA. Our client is redefining how risk is managed and claims are handled, and this role sits at the center of that work — every claim tells a story, and you'll be the voice behind it. This is a remote role, ideally in New Mexico but open to surrounding states as well.
Performance Objectives
- Evaluate claims: Conduct thorough investigations and deliver well-supported claim determinations.
- Administer processes: Manage claims end to end in compliance with jurisdictional guidelines and internal protocols.
- Negotiate resolutions: Drive negotiations with claimants, attorneys, and physicians to settle claims cost-effectively.
- Document with precision: Maintain complete, current, and accurate claim files.
- Advocate for stakeholders: Partner with clients, counsel, and medical professionals to reach the best resolution.
- Analyze trends: Identify and report emerging claim trends to improve process and service quality.
- Collaborative, innovative team with mentorship and clear professional growth paths.
- Advanced claims management software and tools.
- Reports directly to the Claims Supervisor.
- Bachelor's degree or equivalent experience in insurance or claims management.
- 3 years of workers' compensation claims adjusting experience.
- Strong analytical skills and sound, data-informed judgment.
- Excellent communication and interpersonal skills — assertive, empathetic, and diplomatic.
- Proficiency with claims management software and Microsoft Office.
- Join a recognized industry leader in risk management services.
- A culture that values diversity, creative thinking, and professional development.
- Broad claim exposure that builds deep risk assessment and negotiation skills.
- On-the-job training designed to accelerate career advancement.