Workers' Compensation Adjuster (Louisiana - Remote)

Location: Fully remote from the United States; Louisiana Workers' Compensation claims experience is required based on level.

Salary: $65,000–$75,000 per year

Company

hirify.global North America provides technology-enabled professional services supporting risk management, operations, transformation, insurance, and regulated sectors.

What you will do

• Manage the full lifecycle of Workers' Compensation claims from initial investigation through resolution.
• Investigate claims through interviews and evidence gathering; determine compensability and coverage, evaluate exposure, and establish reserves.
• Analyze medical, legal, and employment documentation and manage claim strategy, medical and legal developments, and resolution planning.
• Manage EDI reporting and CMS Section 111 compliance while maintaining jurisdictional requirements.
• Handle moderate to complex, litigated, catastrophic, and high-severity claims; partner with defense counsel and negotiate settlements.
• Provide client reporting and responsive communication, use vendors and cost-containment tools, and support team development through mentorship and knowledge sharing.

Requirements

• 3+ years of Workers' Compensation claims handling experience.
• Direct experience handling Louisiana Workers' Compensation claims, with experience level affecting claim complexity.
• Active adjuster licenses required by Louisiana, or the ability to obtain them.
• Knowledge of Louisiana Workers' Compensation laws and jurisdictional requirements.
• Experience with lost-time claims, compensability analysis, and claim strategy is preferred.
• Understanding of medical terminology and its impact on claim exposure.
• Strong investigation, analysis, decision-making, negotiation, and communication skills.
• Ability to manage multiple priorities in a fast-paced environment and proficiency with claims systems and related technology.
• Professionalism when handling sensitive or confidential information.

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 and applicable requirements.
• 401(k) plan with employer matching.
• Discretionary Time Off for exempt employees or Paid Time Off for non-exempt employees, plus paid holidays.
• Life insurance and short-term and long-term disability coverage.
• Diversity and inclusion are supported, with benefits and leave varying by role, classification, and applicable laws.

Hiring process

• Background checks or criminal-history reviews, if applicable, occur only after a conditional offer and comply with applicable federal, state, and local laws.
• Interview responses and assessments must reflect the candidate's own experience, knowledge, and professional judgment; applications should be submitted through the company's career portal.