Remote Workers’ Comp Medical-Only Claims Adjuster

Davies; Alabama; Hybrid; USD 48.000 - 55.000; Vollzeit

Zusammenfassung

Davies North America is seeking a Workers’ Compensation Medical Only Claims Adjuster to join our Claims Administration & Adjusting team. This remote, permanent full-time role handles indemnity and medical-only claims from intake to resolution for clients in the U.S.

You will investigate, determine compensability, set reserves, coordinate return-to-work, liaise with defense counsel, and ensure compliance with state laws.

Qualifikationen

• Experience handling indemnity and medical-only workers’ compensation claims.
• Ability to manage multiple claims in a fast-paced environment.
• Knowledge of state regulations and compliance requirements.

Aufgaben

• Manage Workers’ Compensation claims from intake through closure.
• Determine compensability and benefit eligibility.
• Establish and adjust reserves based on claim exposure.
• Conduct investigations and coordinate return-to-work efforts.
• Develop claim strategies and identify opportunities for early resolution.
• Monitor medical treatment and indemnity benefits, coordinating with defense counsel as needed.
• Provide updates to clients and ensure regulatory compliance.

Kenntnisse

Workers' Compensation knowledge

Investigations

Negotiation

Communication skills

Analytical skills

Return-to-work coordination

Claims management systems

Active adjuster license

Florida license

Tools

Claims management software

Jobbeschreibung

Davies North America is seeking a Workers’ Compensation Medical Only Claims Adjuster to join our Claims Administration & Adjusting team. This remote, permanent full-time role handles indemnity and medical-only claims from intake to resolution for clients in the U.S.

You will investigate, determine compensability, set reserves, coordinate return-to-work, liaise with defense counsel, and ensure compliance with state laws.