Workers' Compensation Claims Examiner

Dhaka Technology Limited; Washington; On-site; USD 65,000 - 90,000; Full time

Job summary

Dhaka Technologies Limited Company is hiring a Workers' Compensation Claims Examiner for a District of Columbia government client. The role is onsite in an open office environment, 8:30 a.m. to 5:00 p.m.

ET, Monday through Friday. You will receive, investigate, and adjudicate workers' compensation claims, manage medical-only claims from inception to closure, and coordinate with injured workers, providers, and agency stakeholders to support timely resolution and return-to-work efforts.

Qualifications

• Bachelor's degree and two years of workers' compensation claims adjusting experience, or eight years of progressive claims handling including three years WC experience.
• Knowledge of workers' compensation laws, regulations, investigations, reserving, case management, and adjudication.
• Ability to analyze medical evidence and make claim determinations.
• Experience participating in hearings, mediations, or settlement conferences.
• Knowledge of medical terminology and treatment review.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office applications and claims management systems.
• Ability to handle confidential and sensitive information with discretion.

Responsibilities

• Receive, review, and process first reports of injury and notices of loss in accordance with laws and procedures.
• Investigate and evaluate claims to determine compensability and entitlement to benefits.
• Administer medical-only claims from inception through closure.
• Collect, analyze, and evaluate claim information and medical records.
• Review medical evidence to assess treatment necessity and return-to-work opportunities.
• Document all claim activities in the management system and communicate with stakeholders.
• Develop factual findings, analyses, and recommendations to support determinations.
• Coordinate with injured workers, providers, and agency representatives on status and plans.
• Coordinate medical appointments and follow-up care when needed.
• Draft notices and determinations; maintain complete claim files.
• Research laws and policies to support investigations.
• Manage caseloads to meet performance standards.
• Participate in reviews, mediations, hearings, and provide testimony as required.
• Provide professional customer service while safeguarding confidential information.
• Perform other duties for the Public Sector Workers' Compensation Program.

Skills

WC knowledge

Analytical thinking

Communication skills

Microsoft Office

Claims management systems

Education

Bachelor's degree or equivalent

Tools

Claims management system

Microsoft Office Suite

Job description

Dhaka Technologies Limited Company | Contract

Washington, United States | Posted on 08/29/2026

Job Title: Workers' Compensation Claims Examiner
Work Arrangement: Onsite, five (5) days per week
Location: 441 4th Street NW, Washington, DC 20001
Employment Type: Full Time, up to forty (40) hours per week
Engagement Type: Contract, one (1) base year with up to four (4) option years
Final Interview: In person or virtual, at the discretion of the client

Position Summary

Dhaka Technologies Limited Company is hiring a Workers' Compensation Claims Examiner on behalf of its client, a District of Columbia government agency responsible for administering the District's workers' compensation, safety, and risk management programs. The Workers' Compensation Claims Examiner receives, investigates, and adjudicates workers' compensation claims, determines compensability and benefit entitlement, manages medical only claims from inception through closure, and coordinates with injured workers, providers, and agency stakeholders to support timely claim resolution and return to work efforts. This position works onsite in a shared, open office environment during core operating hours of 8:30 a.m. to 5:00 p.m. Eastern Time, Monday through Friday, and does not perform duties on federal or District holidays or during administrative closings.

Key Responsibilities

• Receive, review, and process first reports of injury, notices of loss, and workers' compensation claims in accordance with applicable laws, regulations, policies, and procedures.
• Investigate and evaluate workers' compensation claims to determine compensability and injured worker entitlement to medical and related benefits.
• Administer and manage medical only workers' compensation claims from inception through closure, ensuring timely and accurate claim handling.
• Collect, analyze, and evaluate claim related information, including medical records, employment records, witness statements, treatment plans, billing documentation, and other supporting evidence.
• Review medical evidence and documentation to assess the appropriateness of treatment, medical necessity, work restrictions, and return to work opportunities.
• Conduct required claim contacts, including twenty four hour four point contacts with injured workers, supervisors, medical providers, and other stakeholders, and document all claim activities in the claims management system.
• Develop and document factual findings, claim analyses, and recommendations to support claim determinations and benefit decisions.
• Communicate and coordinate with injured workers, agency representatives, healthcare providers, legal counsel, nurse case managers, and other stakeholders regarding claim status, treatment plans, and return to work efforts.
• Coordinate medical appointments, independent medical evaluations, transportation services, and follow up care when medically necessary.
• Assess maximum medical improvement status, work capabilities, and ongoing treatment needs based on medical evidence and provider recommendations.
• Draft notices, correspondence, claim determinations, and other documents related to the administration and adjudication of workers' compensation claims.
• Maintain complete, accurate, and timely claim files and documentation in accordance with established records management requirements.
• Research claim files, historical records, applicable laws, regulations, policies, and procedures to support claim investigations and determinations.
• Manage assigned caseloads to ensure compliance with performance standards, statutory requirements, and customer service expectations.
• Participate in claim reviews, settlement discussions, mediations, hearings, and other administrative proceedings, and provide testimony or supporting documentation as required.
• Provide professional and responsive customer service while maintaining confidentiality and safeguarding sensitive medical, financial, and employment information.
• Perform other related duties as assigned in support of the Public Sector Workers' Compensation Program.

Required Qualifications

• Bachelor's degree and two (2) years of workers' compensation claims adjusting experience, or eight (8) years of progressively responsible claims handling experience including at least three (3) years of workers' compensation claims adjusting experience.
• Knowledge of workers' compensation laws, regulations, investigations, reserving, case management, and claim adjudication.
• Ability to analyze medical evidence and make claim determinations.
• Experience participating in hearings, mediations, or settlement conferences.
• Knowledge of medical terminology and treatment review.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office applications and claims management systems.
• Ability to handle confidential and sensitive information with discretion.

Additional Requirements

• Selected candidates must successfully complete a local criminal history record check within the District of Columbia and a national criminal history record check through an FBI approved channeler, including fingerprinting, in accordance with D.C. Code Section 4-1501.03.
• Selected candidates must participate in an orientation with the agency Human Resources Officer covering standards of conduct, dress code, cyber security, and ethics, and must complete assigned online training as requested.
• Selected candidates must safeguard the integrity, security, and confidentiality of all personnel information and records in compliance with the Electronic District Personnel Manual, Chapter 31, Records Management and Privacy of Records.
• Selected candidates are responsible for their own transportation to and from the duty location and may not bill for transportation time, breaks, or lunch breaks.
• Selected candidates may not represent themselves as employees of the District of Columbia at any time.
• Selected candidates must record time worked through a web based timekeeping system for weekly review and approval by the client.