Claims Adjuster - Medical Only

Florida League of Cities; Orlando (FL); On-site; USD 55,000 - 60,000; Full time

Benefits offered by this job

35-hour workweek

PTO accrual

Up to 14 paid holidays

Parental leave

Medical leave

Pension plan

457(b) with employer match

Dental insurance

Health insurance

Life insurance

Long-term disability

Education reimbursement

Employee Assistance Program (EAP)

Civic duty leave

Job summary

The Florida League of Cities, Inc. is seeking a detail-oriented Workers' Compensation Claims Adjuster - Medical Only to join our Workers' Compensation Division. You will manage medical-only claims from initial reporting through resolution, ensuring excellent service to injured employees and member organizations across Florida.

This role emphasizes investigative work, relationship-building, and strong documentation, with a comprehensive benefits package and a stable, community-focused workplace.

Qualifications

• Valid Florida Workers' Compensation Claims License.
• Experience handling Medical Only claims, workers' compensation claims administration, or related insurance claims work.

Responsibilities

• Manage and investigate medical-only workers' compensation claims.
• Determine coverage and evaluate claim compensability.
• Gather information from claimants, employers, medical providers, witnesses, and other parties.
• Maintain accurate claim documentation and timely file management.
• Analyze medical records and claim information to support claim decisions.
• Provide outstanding customer service to injured workers and member organizations.
• Handle claim correspondence and respond to inquiries regarding claim status and benefits.
• Pursue applicable recoveries, including subrogation and other recovery opportunities.
• Maintain compliance with Florida workers' compensation regulations and industry best practices.

Skills

Communication

Customer service

Organization

Time management

Decision making

Education

High school diploma or GED

Relevant workers' compensation experience

Job description

Workers' Compensation Claims Adjuster – Medical Only

Florida League of Cities, Inc.

Workers' Compensation Division

Salary Range: $55,167 - $60,000

Launch Your Career with a Team That Makes a Difference

The Florida League of Cities is seeking a customer-focused and detail-oriented Workers' Compensation Claims Adjuster - Medical Only to join our Workers' Compensation team. In this role, you will manage medical-only workers' compensation claims from initial reporting through resolution, ensuring exceptional service to injured employees and our member organizations throughout Florida.

If you enjoy investigative work, building relationships, problem-solving, and helping people navigate the claims process, this is an excellent opportunity to build a rewarding career in workers' compensation.

What You’ll Do

• Manage and investigate medical-only workers' compensation claims
• Determine coverage and evaluate claim compensability
• Gather information from claimants, employers, medical providers, witnesses, and other parties
• Maintain accurate claim documentation and timely file management
• Analyze medical records and claim information to support claim decisions
• Provide outstanding customer service to injured workers and member organizations
• Handle claim correspondence and respond to inquiries regarding claim status and benefits
• Pursue applicable recoveries, including subrogation and other recovery opportunities
• Maintain compliance with Florida workers' compensation regulations and industry best practices

The position supports the Workers' Compensation claim unit by managing claims that typically do not involve lost time from work.

What We're Looking For

Required Qualifications

• Valid Florida Workers' Compensation Claims License
• High school diploma or GED with relevant workers' compensation experience, or a degree in business, insurance, or a related field
• Experience handling Medical Only claims, workers' compensation claims administration, or related insurance claims work
• Strong communication and customer service skills
• Ability to exercise sound judgment and make informed decisions
• Strong organizational and time-management abilities

Preferred Qualifications

• Knowledge of Florida Workers' Compensation statutes and fee schedules
• Understanding of medical terminology
• Experience within a third-party administrator, insurance carrier, or self-insured environment

Why Join the Florida League of Cities?

We offer a highly competitive benefits package, including:

• 35-hour workweek with work-life balance
• Personal Time (PTO) accrual system
• Up to 14 paid holidays annually, including your birthday
• Paid parental leave
• Major Medical Leave and Catastrophic Leave programs
• Employer-sponsored pension plan
• 457(b) retirement plan with employer match eligibility
• Employer-paid dental insurance
• Health insurance coverage for employees and eligible dependents
• Employer-paid life insurance
• Long-term disability coverage
• Education reimbursement program
• Employee Assistance Program (EAP)
• Civic duty leave for volunteer, jury duty, and voting activities

If you're looking for a stable career with excellent benefits, meaningful work, and a team-oriented culture, we'd love to hear from you.

Equal Opportunity Employer

The Florida League of Cities is an Equal Opportunity Employer and considers all qualified applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under applicable law.

Please Note: This is a tobacco-free workplace. Applicants who use tobacco products are not eligible for employment.