Multi-State Workers' Comp Claims Specialist

AdventHealth; Florida; On-site; USD 55,000 - 103,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO from Day One

403-B retirement plan

Parental leave

Job summary

AdventHealth in Florida is seeking a seasoned Workers' Compensation Claims Adjuster to manage complex injury claims from inception to closure. You will investigate, coordinate with workers and employers, and liaise with legal counsel as needed.

The role requires reviewing medical reports, wage statements, and calculating compensation; you will also approve settlements within authority and ensure system accuracy for submissions.

Qualifications

• Medical terminology knowledge required.
• Proficiency with core claims software tools listed.
• Bachelor's degree preferred; high school diploma required.

Responsibilities

• Manages complex work-related injury claims from inception to completion, including lost work, restricted days, and litigation.
• Conducts thorough investigations and gathers necessary information for each claim.
• Communicates with injured workers, employers, and legal counsel regarding claim status and transfers.
• Reviews medical reports, wage statements, and related documents.
• Calculates average weekly wages and compensation rates; justifies reserves.

Skills

Medical terminology knowledge

Basic computer skills

Education

Bachelor's degree (preferred)

High School Grad or Equivalent (required)

Tools

Origami

Riskmaster

Microsoft Office Suite

Mitchell

AWPRx

ImageNow

Job description

AdventHealth in Florida is seeking a seasoned Workers' Compensation Claims Adjuster to manage complex injury claims from inception to closure. You will investigate, coordinate with workers and employers, and liaise with legal counsel as needed.

The role requires reviewing medical reports, wage statements, and calculating compensation; you will also approve settlements within authority and ensure system accuracy for submissions.