Workers Compensation Claim Representative

Workers’ Compensation Claims Representative or Trainee

Vermont League of Cities and Towns

Are you interested in joining a mission-driven organization and team of dedicated colleagues? We seek a claims professional to serve our municipal membership within VLCT’s self-insured property, casualty, and workers’ compensation pool. We will consider candidates with various levels of workers’ compensation experience or will consider training an appropriate entry level candidate.

This key position provides expertise to members for claims underwritten by the VLCT Property and Casualty Intermunicipal Fund (PACIF) trust. Knowledge of claim principles and law, especially workers’ compensation, is preferred but not required; familiarity with risk pooling and/or local government is helpful. This position requires a high degree of independent decision making, time management skills, and an ability to multi-task. 

This position reports to the Manager, Workers’ Compensation Claims. Duties include investigation and management; completing and submitting state forms; working closely with medical providers, legal counsel, and the Vermont Department of Labor; mediating and negotiating settlements; and adjusting claims in compliance with Vermont’s workers’ compensation statute.

Requirements

• Excellent communication and problem-solving skills and the ability to analyze information;
• Valid driver’s license;
• Some in-state travel and evening hours, such as meeting with members and injured workers and attending mediations, hearings, or selectboard meetings;
• High School Diploma or Equivalent;
• Current Vermont workers’ compensation adjuster license, or ability to obtain within six months.

The salary ranges between $62,000 and $75,000 depending on experience and which position is offered.

In addition to an excellent salary, VLCT also provides an exceptional benefit package, an option for remote work within the State of Vermont, a convenient downtown Montpelier office to work at if desired, an enjoyable work environment, and great colleagues.

Application deadline is September 4, 2026. Resumes will be reviewed as they are received. Interviews will be conducted remotely via Zoom or in person. Position is open until filled.

VLCT is an Equal Opportunity Employer and encourages all individuals to apply.

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JOB DESCRIPTION

WORKERS’ COMPENSATION CLAIMS REPRESENTATIVE

FLSA Designation: Exempt

Pay Classification: 16

Nature and Scope of Position

This is a professional claims handling position in the Risk Management Services Department. This position requires a Vermont Workers’ Compensation Adjusters license, effective communication skills, and the ability to make independent judgments. The representative performs a range of diversified duties in the processing and settling of workers’ compensation claims and may be entrusted with discretionary settlement authority established by the Manager, Workers’ Compensation Claims. This position reports to the Manager, Workers’ Compensation Claims.

Duties and Responsibilities

• Conduct routine investigation of workers’ compensation claims.
• Take written or audio recorded statements.
• Recognize and resolve compensability issues.
• Communicate effectively with physicians, attorneys, vocational counselors, Department of Labor staff, and members.
• Review, analyze, and act on medical and investigative reports.
• Set claim reserves to reflect anticipated cost associated with the claim.
• Prepares state workers’ compensation forms.
• Issue timely and appropriate WC benefits per Vermont WC statutes.
• Completes all requested reports, logs etc. in a timely and competent manner.
• Recognize and pursue subrogation.
• Interpret and apply pertinent federal and state regulations.
• Prepare proper and reports in a timely manner as required by workers’ compensation statues and excess carriers’ requirements.
• Prepare comprehensive, clear, and concise technical reports as requested.
• Perform other duties and projects as assigned by the Manager, Workers’ Compensation Claims.
• Negotiate settlements within established level of authority when applicable.
• Negotiate with attorneys and claimants.
• Undertake informal workers’ compensation hearings.
• Work closely with defense counsel in litigation.
• Audit defense bills and resolve billing issues.
• Attend mediations and depositions.
• Becomes involved in negotiating settlements when necessary.
• Apply the principles of primary and reinsurance coverage and submit reports as required.
• Prepare proper and timely internal and statutory reports/forms as required.
• Participate in a variety of special projects and assignments.
• Engage in public speaking when necessary.
• Attend member selectboard meetings to provide claim status reports as requested.
• Report workplace hazards and other safety-related issues to Manager, Workers’ Compensation Claims.
• Perform other projects and duties as assigned by the Manager, Workers Compensation Claims.