Florida Licensed Claims Specialist

Job Summary

Managing work-related injury claims from inception to completion, the full-time Florida Licensed Claims Specialist will conduct thorough investigations, determine compensability, and manage medical treatment authorization in a fully remote environment.

Key responsibilities

• Conduct thorough investigations of claims through three-point contact with claimants, employers, and medical providers
• Review and approve or deny medical bills, reimbursement requests, and invoices within jurisdictional time frames
• Set and document medical and expense reserves while ensuring compliance with reporting requirements

Required qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• Minimum of 2 years of experience in a workers' compensation claims department
• 6-20 All-Lines Adjuster License required
• Familiarity with Origami, Riskmaster, Microsoft Office Suite, and medical terminology
• Basic web navigational and computer skills required