Medical-Only Workers' Comp Claims Adjuster

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

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.