Remote Workers’ Comp Claims Specialist

Absolute Staffing & Consulting Solutions; Philadelphia (Philadelphia County); Remote; USD 50,000 - 65,000; Full time

Benefits offered by this job

Generous PTO

Paid Holidays

Health Insurance (Medical)

Dental Insurance

Vision Insurance

Disability Insurance

AD&D Insurance

Life Insurance

EAP

401(k)

Job summary

Absolute Staffing & Consulting Solutions is seeking a remote Workers’ Compensation Claims Adjuster to join our team. The role focuses on analyzing and resolving complex workers’ compensation claims, developing action plans, calculating benefits, and filing state documentation within deadlines.

You will handle litigation coordination, subrogation opportunities, and cost containment while communicating clearly with clients and claimants.

Qualifications

• Bachelor’s degree preferred; professional certifications a plus.
• 1–2 years of workers’ compensation claims experience (PA jurisdiction preferred) or equivalent education and experience.
• Licensing: No license required for this role.
• Solid knowledge of workers’ compensation laws and claim practices.

Responsibilities

• Analyze and resolve complex workers’ compensation claims by gathering essential information and managing the claims process from start to resolution.
• Develop and execute well-structured action plans to ensure timely and appropriate outcomes.
• Accurately calculate benefits and assign reserves; process claim payments and adjustments.
• Prepare and file required state documentation within statutory deadlines.
• Manage litigation and coordinate with vendors for investigative or legal support.
• Apply cost-containment strategies and identify opportunities for subrogation and recoveries.
• Communicate claim activity clearly and professionally with clients and claimants.
• Ensure proper documentation and coding of all claim files.
• Refer cases to supervisors as needed and follow established service standards.

Skills

Workers' compensation

Claims processing

Microsoft Office

Communication skills

Negotiation

Analytical skills

Attention to detail

Teamwork

Education

Bachelor's degree preferred

Tools

Claims processing software

Microsoft Office

Job description

Absolute Staffing & Consulting Solutions is seeking a remote Workers’ Compensation Claims Adjuster to join our team. The role focuses on analyzing and resolving complex workers’ compensation claims, developing action plans, calculating benefits, and filing state documentation within deadlines.

You will handle litigation coordination, subrogation opportunities, and cost containment while communicating clearly with clients and claimants.