Lost Time Workers Compensation Claims Adjuster (Insurance)

TL;DR

Lost Time Workers Compensation Claims Adjuster (Insurance): Managing the investigation, evaluation, and settlement of workers' compensation claims for self-insured and public entity accounts with an accent on complex and high-exposure claims. Focus on developing litigation strategies, negotiating settlements, and ensuring strict compliance with state laws and regulatory requirements.

Location: Remote (Must be based in the United States)

Salary: $70,000 - $80,000 / year

Company

A specialist professional services and technology firm providing risk management, claims, and digital transformation solutions for insurance and highly regulated businesses.

What you will do

• Investigate, evaluate, and settle Workers’ Compensation claims for self-insured and public entity accounts.
• Manage claim files, including indemnity determination, income loss calculation, and treatment plan evaluation.
• Develop litigation and defense strategies with assigned attorneys and handle depositions, mediations, and hearings.
• Set and evaluate reserves using knowledge of MSAs and structured annuities.
• Maintain system diaries and ensure timely payments to avoid state fines.
• Coordinate with clients and excess carriers to provide detailed status reports and claim reviews.

Requirements

• Active Adjuster license (FL 5-24, 5-20 or 6-20).
• Minimum of three years of Florida claims-related experience.
• Proven ability to negotiate settlements and interpret complex legal documentation.
• Ability to work independently in a paperless, digitally-driven environment.
• Strong communication and customer service skills for client interaction.

Nice to have

• Four-year college degree or equivalent professional work experience.

Culture & Benefits

• Comprehensive medical, dental, and vision insurance plans.
• 401(k) retirement plan with employer matching.
• Flexible time-off policies including Discretionary Time Off (DTO) and Paid Time Off (PTO).
• Life insurance and both short-term and long-term disability coverage.
• Paid company holidays.