Claims Adjuster

Absolute Staffing & Consulting Solutions; Philadelphia (Philadelphia County); Remote; USD 50,000 - 65,000; Full time

Benefits offered by this job

Generous PTO

Paid Holidays

Health Insurance (Medical)

Dental Insurance

Vision Insurance

Disability Insurance

AD&D Insurance

Life Insurance

EAP

401(k)

Job summary

Absolute Staffing & Consulting Solutions is seeking a remote Workers’ Compensation Claims Adjuster to join our team. The role focuses on analyzing and resolving complex workers’ compensation claims, developing action plans, calculating benefits, and filing state documentation within deadlines.

You will handle litigation coordination, subrogation opportunities, and cost containment while communicating clearly with clients and claimants.

Qualifications

• Bachelor’s degree preferred; professional certifications a plus.
• 1–2 years of workers’ compensation claims experience (PA jurisdiction preferred) or equivalent education and experience.
• Licensing: No license required for this role.
• Solid knowledge of workers’ compensation laws and claim practices.

Responsibilities

• Analyze and resolve complex workers’ compensation claims by gathering essential information and managing the claims process from start to resolution.
• Develop and execute well-structured action plans to ensure timely and appropriate outcomes.
• Accurately calculate benefits and assign reserves; process claim payments and adjustments.
• Prepare and file required state documentation within statutory deadlines.
• Manage litigation and coordinate with vendors for investigative or legal support.
• Apply cost-containment strategies and identify opportunities for subrogation and recoveries.
• Communicate claim activity clearly and professionally with clients and claimants.
• Ensure proper documentation and coding of all claim files.
• Refer cases to supervisors as needed and follow established service standards.

Skills

Workers' compensation

Claims processing

Microsoft Office

Communication skills

Negotiation

Analytical skills

Attention to detail

Teamwork

Education

Bachelor's degree preferred

Tools

Claims processing software

Microsoft Office

Job description

Job Title: Claims Adjuster

Location: Remote

Job Type: Full-Time

About Us

Absolute Staffing & Consulting Solutions is a woman, minority, and veteran-owned business based in Westminster, Maryland. As a trusted subcontractor, we specialize in staff augmentation for education, healthcare, IT, customer support, and administrative roles, serving private businesses and government entities at all levels.

Absolute Staffing & Consulting Solutions is seeking a remote Workers’ Compensation Claims Adjuster to join our team of professionals.

Key Responsibilities

• Analyze and resolve complex workers’ compensation claims by gathering essential information and managing the claims process from start to resolution.
• Develop and execute well-structured action plans to ensure timely and appropriate outcomes.
• Accurately calculate benefits and assign reserves; process claim payments and adjustments.
• Prepare and file required state documentation within statutory deadlines.
• Manage litigation and coordinate with vendors for investigative or legal support.
• Apply cost-containment strategies and identify opportunities for subrogation and recoveries.
• Communicate claim activity clearly and professionally with clients and claimants.
• Ensure proper documentation and coding of all claim files.
• Refer cases to supervisors as needed and follow established service standards.

Qualifications

• Education: Bachelor’s degree preferred; professional certifications a plus.
• Experience: Minimum of one (1) – two (2) years of claims management experience (Pennsylvania jurisdiction preferred) or equivalent education and experience.
• Licensing: No license required for this role.

Skills

• Solid knowledge of workers’ compensation laws and claim practices.
• Proficiency in Microsoft Office and claims processing software.
• Strong communication, negotiation, and analytical skills.
• Ability to work independently and collaboratively within a team.
• High attention to detail and organizational ability.

Compensation & Benefits

• Salary Range: $50,000–$65,000 annually, based on experience.

Paid Time Off

• Generous PTO package
• Paid Holiday Schedule

Health Insurance

• Medical
• Dental
• Vision

Ancillary Benefits

• Short-term & long-term disability insurance
• Accidental death & dismemberment (AD&D) insurance
• Life insurance

Employee Assistance Program (EAP)

Support for emotional well-being, legal & financial matters, family & relationships, and work-life transitions.

Retirement

401(k) plan available (discretionary employer match based on company profitability)

If you’re passionate about workers’ compensation claims and want to grow your career with a respected industry leader, we’d love to hear from you.