Remote Florida Workers' Comp Lost-Time Adjuster

Davies; Florida; Remote; USD 68,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) with employer matching

Paid time off and holidays

Life insurance

Short-term and long-term disability

Job summary

Davies North America is seeking a Workers’ Compensation Legal Adjuster to investigate Florida claims, evaluate case details, and determine compensability and reserves for the claim. This remote role supports a team focused on timely indemnity payments and state filings while coordinating with defense counsel and medical providers.

The position requires 3–5 years of Lost Time/Legal claims handling, an active FL All-Lines Adjuster or WC license, and strong communication skills.

Qualifications

• 3-5 years of Lost Time/Legal claims handling experience; preferred 5+ years.
• Possess FL-All Lines Adjuster or Workers’ Compensation License and CEU credits for license
• Previous experience with settling claims
• Experience with Microsoft Office Suite
• Proactive, independent, and takes initiative with consistent follow through
• Superior time management skills with capability of working with and meeting deadlines
• Excellent team player with interpersonal skills
• Capable of working collaboratively and independently with minimal supervision
• Exhibit discretion with sensitive and confidential information

Responsibilities

• Evaluate claim detail, including Florida Statute and case law, to determine compensability and total value of the claim; set and adjust reserve accordingly
• Initiate investigation and assign defense counsel when appropriate
• Initiate accurate indemnity payments in a timely manner and maintain diary for ongoing payments
• Timely proper completion of State filings
• Handle EDI filings and rejections in conjunction with EDI adjuster
• Monitor medical treatment in conjunction with assigned Nurse Case Manager
• Review, document, and approve medical bills for payment within three days of receipt
• Authorize appropriate medical services as outlined per Florida Statute 440.13
• Determine whether vocational rehabilitation services are needed for an employee to return to work
• Coordinate light duty availability and reasonable accommodations with medical providers and employers

Skills

Lost Time claims

FL Adjuster license

Florida law knowledge

MS Office

Communication skills

Education

College degree

Tools

IDatix

Reference Books-Periodicals

Workers Computation

ISO

ShoreTel

Job description

Davies North America is seeking a Workers’ Compensation Legal Adjuster to investigate Florida claims, evaluate case details, and determine compensability and reserves for the claim. This remote role supports a team focused on timely indemnity payments and state filings while coordinating with defense counsel and medical providers.

The position requires 3–5 years of Lost Time/Legal claims handling, an active FL All-Lines Adjuster or WC license, and strong communication skills.