Claims Adjuster, Worker's Compensation

Location: Remote, but must live and work in the United States; U.S. territories are excluded. Reliable high-speed internet is required.

Salary: $70,000–$90,000 USD per year

Company

hirify.global uses technology to make commercial insurance more affordable and accessible for small businesses.

What you will do

• Manage workers’ compensation claims independently from setup through closure.
• Investigate claims, make compensability decisions, and administer statutory medical and indemnity benefits.
• Set and adjust reserves, mitigate claim exposure, and pursue favorable outcomes.
• Manage defense counsel, litigation activity, legal costs, and settlement negotiations.
• Support agents, insureds, TPA adjusters, and claims partners with claim guidance, status updates, coverage verification, and loss run reports.
• Identify opportunities to improve claims operations, service standards, handling procedures, and protocols.

Requirements

• At least two years of workers’ compensation claims experience.
• Claims experience in Florida, Georgia, North Carolina, South Carolina, and Tennessee.
• High school diploma or equivalent.
• Knowledge of jurisdictional regulatory and statutory requirements, including CMS/MSA requirements.
• Experience with claim adjudication, medical management, and litigation management.
• Strong written and verbal communication, problem-solving, conflict resolution, and decision-making skills.

Nice to have

• Bachelor’s degree or equivalent experience with some college coursework.
• Experience with G-Suite tools and collaboration tools such as Slack.

Culture & Benefits

• Remote work for team members located in the United States.
• Comprehensive health plans.
• Generous paid time off.
• 401(k) match.
• Parental and caregiver leave.
• Potential discretionary bonuses for eligible team members based on company performance.