Remote Workers' Comp Claims Adjuster (Multistate)

Biberk; Northern (KY); Hybrid; USD 75,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Vision & dental

PTO

Holidays

Parental leave

401(k) match

Tuition reimbursement

Service recognition

Wellness programs

Voluntary benefits

Employee discounts

Job summary

biBerk is seeking an experienced Workers' Compensation Claims Representative. This fully remote role supports the Northeast region and handles a caseload of loss time workers' compensation claims across multiple jurisdictions from anywhere in the continental US.

You will determine compensability, gather medical evidence, negotiate settlements, and coordinate with claimants, attorneys, and providers, while leveraging strong communication and negotiation skills to drive outcomes.

Qualifications

• Minimum 3 years of workers' compensation claims experience.
• Experience handling claims in multiple jurisdictions (PA, MA, VA, ME, MD).
• Maryand residents encouraged to apply.
• Bachelor's degree preferred.
• Experience in handling lost time or litigated claims.
• Familiarity with medical terminology.
• Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills.
• Excellent verbal and written communication skills needed.

Responsibilities

• Determine compensability and/or coverage issues for loss time workers' compensation claims.
• Effectively manage a caseload of loss time claims from numerous jurisdictions.
• Negotiate and direct settlements under management's review.
• Gather medical and factual evidence to determine compensability.
• Direct outside investigation and handle litigation files within given authority.
• Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers.

Skills

Workers' comp claims

Multi-jurisdiction experience

Negotiation

Medical terminology

Communication skills

Education

Bachelor's degree preferred

Job description

biBerk is seeking an experienced Workers' Compensation Claims Representative. This fully remote role supports the Northeast region and handles a caseload of loss time workers' compensation claims across multiple jurisdictions from anywhere in the continental US.

You will determine compensability, gather medical evidence, negotiate settlements, and coordinate with claimants, attorneys, and providers, while leveraging strong communication and negotiation skills to drive outcomes.