Workers’ Compensation Medical Only Claims Adjuster

Location: Home United States; fully remote

Salary: $48,000–$55,000 per year

Company

hirify.global North America provides technology-enabled professional services and claims solutions for businesses in insurance and regulated sectors.

What you will do

• Manage Workers’ Compensation claims from intake through closure, determining compensability, benefit eligibility, and appropriate reserves.
• Investigate claims through interviews and documentation review, develop claim strategies, and identify early-resolution opportunities.
• Monitor treatment plans, coordinate return-to-work efforts, and administer indemnity benefits in line with jurisdictional requirements.
• Coordinate with defense counsel on litigated claims and support hearings, mediations, and settlements.
• Provide timely client and stakeholder updates while maintaining compliance with state regulations and internal standards.

Requirements

• Strong knowledge of Workers’ Compensation laws, benefit structures, and claims processes.
• Experience managing indemnity payments and return-to-work programs.
• Ability to manage multiple claims in a fast-paced environment.
• Strong investigative, analytical, decision-making, negotiation, and problem-solving skills.
• Excellent written and verbal communication skills.
• Proficiency with claims management systems and related technology.
• Active adjuster license(s), or ability to obtain licenses as required; an active Florida license is required.

Nice to have

• Multi-state claims handling experience.
• Experience with EDI reporting and jurisdictional compliance requirements.
• Familiarity with nurse case management and medical cost containment strategies.

Culture & Benefits

• Permanent, full-time, fully remote employment for candidates working from the United States.
• Medical, dental, and vision plans, subject to eligibility and applicable requirements.
• 401(k) plan with employer matching.
• Paid holidays and time off, including DTO for exempt employees and PTO for non-exempt employees.
• Life insurance, short- and long-term disability coverage, and legally required leave where applicable.
• Regular dependable attendance and availability during established work hours are required.

Hiring process

• Applications and recruitment communications must be submitted through the company career portal; hirify.global does not recruit through Facebook, Craigslist, or Telegram.
• Background checks or criminal-history reviews, if applicable, occur only after a conditional offer and in accordance with applicable laws.
• Interview responses and assessments must reflect the candidate’s own experience, knowledge, and professional judgment.