Workers' Compensation Claims Adjuster

Job Summary

Managing Workers' Compensation Lost Time and Medical Only claims remotely, the full-time salaried Lost Time Claims Specialist will investigate, evaluate, and determine compensability for work-related injury and disease claims while collaborating with various stakeholders to ensure optimal outcomes.

Key responsibilities

• Evaluate and establish action plans for managing medical and indemnity benefits associated with injury claims
• Decide claim outcomes using established policies, procedures, and guidelines, while gathering necessary facts through interviews
• Collaborate with injured workers, employers, and medical professionals to manage claims costs and facilitate safe return-to-work processes

Required qualifications

• Bachelor's Degree from an accredited college or university is preferred
• Three years of experience in the field of workers' compensation insurance required
• One valid workers' compensation adjuster license is strongly preferred
• Experience in workers' compensation claims practices, laws, and court procedures
• Ability to manage claims through the litigation process