Remote Workers’ Comp Medical-Only Claims Adjuster

Davies; United States; Remote; USD 48.000 - 55.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision plans

401(k) with employer matching

Discretionary PTO and paid holidays

Life insurance and disability coverage

Zusammenfassung

Davies North America is seeking a Workers’ Compensation Medical Only Claims Adjuster to work remotely. You will manage indemnity and medical-only claims from intake to resolution, applying company guidelines and jurisdictional requirements.

The role requires strong investigative, analytical, and negotiation skills, plus knowledge of WC laws and claims processes. Remote opportunity with competitive compensation and comprehensive benefits.

Qualifikationen

• Strong knowledge of Workers’ Compensation laws, benefit structures, and claims processes.
• Experience managing indemnity payments and return-to-work programs.
• Ability to handle multiple claims in a fast-paced environment.
• Strong investigative, analytical, and decision-making skills.
• Excellent written and verbal communication skills.
• Proficiency with claims management systems and related technology.
• Active adjuster license(s) or ability to obtain as required.
• Active FL license needed.

Aufgaben

• Manage Workers’ Compensation claims from intake through closure.
• Determine compensability and benefit eligibility.
• Establish and adjust reserves based on claim exposure.
• Conduct investigations, including interviews and documentation review.
• Develop and execute claim strategies.
• Identify opportunities for early resolution.
• Monitor treatment plans and coordinate return-to-work efforts.
• Administer indemnity benefits in compliance with jurisdictional requirements.
• Coordinate with defense counsel on litigated claims.
• Support hearings, mediations, and settlements.
• Provide timely updates to clients and stakeholders and ensure compliance with all regulations.
• Maintain compliance with state regulations and internal standards.

Kenntnisse

WC claims knowledge

Indemnity payments

Return-to-work

Investigation skills

Negotiation skills

Communication skills

Claims systems

Adjuster license

FL license

Tools

Claims management system

Jobbeschreibung

Davies North America is seeking a Workers’ Compensation Medical Only Claims Adjuster to work remotely. You will manage indemnity and medical-only claims from intake to resolution, applying company guidelines and jurisdictional requirements.

The role requires strong investigative, analytical, and negotiation skills, plus knowledge of WC laws and claims processes. Remote opportunity with competitive compensation and comprehensive benefits.