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5 дней назад

Workers Compensation Lost Time Adjuster (Workers’ Compensation)

68 000 - 74 800$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Workers Compensation Lost Time Adjuster (Workers’ Compensation): Investigating and managing Florida workers’ compensation claims, including compensability, reserves, payments, medical treatment, litigation, and state filings with an accent on Florida statutes, case law, and claim resolution. Focus on evaluating complex claims, coordinating defense counsel and medical providers, identifying recovery opportunities, and maintaining a 97% claim closure ratio.

Location: Fully remote from the United States; the role handles Florida workers’ compensation claims and requires availability during established work hours.

Salary: $68,000–$74,800 per year.

Company

hirify.global provides professional services, technology, risk management, and operational solutions for insurance and regulated sectors as part of hirify.global Group.

What you will do

  • Investigate assigned Florida workers’ compensation claims and evaluate compensability, claim value, reserves, benefits, and indemnity payments.
  • Complete state and EDI filings, maintain claim diaries and workflows, and meet a 97% claim closure ratio.
  • Monitor medical treatment, review and approve medical bills, authorize services under Florida Statute 440.13, and coordinate vocational rehabilitation, light duty, and accommodations.
  • Direct defense counsel and make timely decisions on litigated issues, including claims involving depositions, mediations, and litigation.
  • Identify red flags and pursue subrogation, contribution, indemnification, excess-carrier reimbursement, and other recovery opportunities.
  • Attend client meetings, maintain client contact, follow account instructions, and escalate account, client, and E&O concerns.

Requirements

  • 3–5 years of Lost Time or Legal claims handling experience; 5+ years preferred.
  • Florida All-Lines Adjuster or Workers’ Compensation license required, with ongoing CEU credits.
  • Previous experience settling claims.
  • Experience with Microsoft Office Suite.
  • Proactive, independent approach with consistent follow-through and the ability to work with minimal supervision.
  • Strong verbal and written communication, time management, prioritization, organization, documentation, attention to detail, and problem-solving skills.
  • Ability to collaborate effectively, multitask in a fast-paced environment, handle confidential information discreetly, and communicate with people at all organizational levels.

Nice to have

  • College degree.
  • Multiple years of experience handling several claim types.
  • Presumption claims handling experience.
  • Experience with depositions, mediations, and litigation.
  • Experience with IDatix, Reference Books-Periodicals, Workers Computation, ISO, or ShoreTel.

Culture & Benefits

  • Fully remote, permanent full-time employment with regular and dependable attendance during established work hours.
  • Medical, dental, and vision plans, subject to eligibility.
  • 401(k) plan with employer matching.
  • DTO for exempt employees and PTO for non-exempt employees, plus paid holidays.
  • Life insurance and short- and long-term disability coverage; legally required sick, family, and parental leave may apply based on location.
  • Diverse and inclusive workplace with reasonable accommodations available for qualified individuals with disabilities.

Hiring process

  • Background checks or criminal-history reviews, if applicable, occur only after a conditional offer and in accordance with applicable law.
  • Interview responses and assessments must reflect the candidate’s own experience, knowledge, and professional judgment; applications and recruiting communications should use the company career portal.

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