Florida Licensed Medical Adjuster

Job Summary

A company is looking for a Medical Only Adjuster to manage workers' compensation medical-only claims for assigned TPA clients.

Key Responsibilities

• Investigate and adjust medical-only Workers' Compensation claims in compliance with Florida statutes and case law
• Complete timely 48-hour contacts with injured workers, employers, and medical providers
• Determine compensability, authorize medical treatment, and initiate required state and EDI filings

Required Qualifications

• Working knowledge of Florida Workers' Compensation law, rules, procedures, and case law
• Understanding of liability principles, medical terminology, and treatment protocols
• Ability to independently manage a medical-only caseload while meeting performance metrics
• Strong organizational skills with the ability to manage multiple priorities
• Commitment to compliance and quality