3 дня назад
Workers' Compensation Lost Time Adjuster (Remote)
70 000 - 75 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers' Compensation Lost Time Adjuster (Remote) (Workers' Compensation claims): Managing indemnity and medical-only claims from intake through resolution with an accent on claim investigation, compensability decisions, reserve management, and jurisdictional compliance. Focus on coordinating medical treatment and return-to-work efforts, managing litigation, and developing early-resolution strategies.
Location: Remote within the United States; must be located in the Eastern Time Zone and work Monday-Friday, 8am-5pm
Salary: $70,000-$75,000 per year
Company
is a professional services and technology firm serving insurance, regulated, financial services, public sector, and other risk-focused organizations.
What you will do
- Manage Workers' Compensation claims from intake through closure, including compensability, benefit eligibility, and reserve decisions.
- Investigate claims through interviews and documentation review, develop claim strategies, and identify early-resolution opportunities.
- Monitor medical treatment, coordinate return-to-work efforts, and administer indemnity benefits.
- Coordinate with defense counsel and support hearings, mediations, and settlements.
- Provide timely updates to clients and stakeholders while maintaining compliance with state regulations and internal standards.
Requirements
- 3+ years of Workers' Compensation claims-handling experience.
- Municipality or public entity experience and presumption experience.
- Active Florida adjuster license: 6-20 or 5-20.
- Must be located in the Eastern Time Zone and available Monday-Friday, 8am-5pm.
- Strong knowledge of Workers' Compensation laws, benefit structures, claims processes, indemnity payments, and return-to-work programs.
- Strong investigative, analytical, negotiation, decision-making, and communication skills, plus proficiency with claims management systems.
Nice to have
- Experience with medical-only, lost time, or blended Workers' Compensation portfolios.
- Experience with EDI reporting and jurisdictional compliance requirements.
- Familiarity with nurse case management and medical cost containment strategies.
- Additional active adjuster licenses or ability to obtain licenses as required.
Culture & Benefits
- Fully remote work arrangement within the United States.
- Medical, dental, and vision insurance plans.
- 401(k) plan with employer matching.
- Paid time off, discretionary time off for exempt employees, and paid holidays.
- Life insurance and short-term and long-term disability coverage.
- Diversity, inclusion, and reasonable workplace accommodations.
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