Public Sector Workers’ Comp Claims Examiner

Greenlife Healthcare Staffing; Washington; On-site; USD 55,000 - 61,000; Full time

Benefits offered by this job

Comprehensive Benefits

Full-Time Schedule (Mon-Fri)

Government/Public Sector Experience

Job summary

Greenlife Healthcare Staffing is seeking a Workers’ Compensation Claims Examiner in Washington, DC to administer claims from initial report through closure. The role involves investigating compensability, analyzing medical evidence, and coordinating services for a government program.

The position is temporary/full-time, hourly at $42, with a standard 8:30 a.m.–5:00 p.m. ET schedule, Monday–Friday. This role emphasizes professional growth within a collaborative, mission-driven setting.

Qualifications

• Bachelor’s degree and at least two years of workers’ compensation claims adjusting experience; or eight years of progressively responsible claims-handling experience, including at least three years in workers’ compensation adjusting.
• Knowledge of workers’ compensation laws, regulations, investigations, reserving, case management, and claim adjudication.
• Ability to analyze medical evidence and make claim determinations.
• Experience participating in hearings, mediations, or settlement conferences.
• Knowledge of medical terminology and treatment review.

Responsibilities

• Receive, review, and process first reports of injury and workers’ compensation claims.
• Investigate and evaluate claims for compensability and entitlement to medical benefits.
• Manage medical-only workers’ compensation claims from inception through closure.
• Collect and analyze medical records, employment records, witness statements, treatment plans, bills, and other evidence.
• Review medical evidence for treatment appropriateness, medical necessity, and return-to-work opportunities.
• Draft notices, correspondence, determinations, and adjudication documents.
• Maintain complete and timely claim files and research claim histories and policies.
• Participate in claim reviews, settlements, mediations, hearings, and administrative proceedings.

Skills

Investigative skills

Claim analysis

Caseload management

Stakeholder coordination

Written/verbal communication

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

Greenlife Healthcare Staffing is seeking a Workers’ Compensation Claims Examiner in Washington, DC to administer claims from initial report through closure. The role involves investigating compensability, analyzing medical evidence, and coordinating services for a government program.

The position is temporary/full-time, hourly at $42, with a standard 8:30 a.m.–5:00 p.m. ET schedule, Monday–Friday. This role emphasizes professional growth within a collaborative, mission-driven setting.