Claims Adjuster - Medical Only
About The Position
The Florida League of Cities is seeking a customer-focused and detail-oriented Workers' Compensation Claims Adjuster - Medical Only to join our Workers' Compensation team. In this role, you will manage medical-only workers' compensation claims from initial reporting through resolution, ensuring exceptional service to injured employees and our member organizations throughout Florida. If you enjoy investigative work, building relationships, problem-solving, and helping people navigate the claims process, this is an excellent opportunity to build a rewarding career in workers' compensation. The position supports the Workers' Compensation claim unit by managing claims that typically do not involve lost time from work.
Requirements
- Valid Florida Workers' Compensation Claims License
- High school diploma or GED with relevant workers' compensation experience, or a degree in business, insurance, or a related field
- Experience handling Medical Only claims, workers' compensation claims administration, or related insurance claims work
- Strong communication and customer service skills
- Ability to exercise sound judgment and make informed decisions
- Strong organizational and time-management abilities
Nice To Haves
- Knowledge of Florida Workers' Compensation statutes and fee schedules
- Understanding of medical terminology
- Experience within a third-party administrator, insurance carrier, or self-insured environment
Responsibilities
- Manage and investigate medical-only workers' compensation claims
- Determine coverage and evaluate claim compensability
- Gather information from claimants, employers, medical providers, witnesses, and other parties
- Maintain accurate claim documentation and timely file management
- Analyze medical records and claim information to support claim decisions
- Provide outstanding customer service to injured workers and member organizations
- Handle claim correspondence and respond to inquiries regarding claim status and benefits
- Pursue applicable recoveries, including subrogation and other recovery opportunities
- Maintain compliance with Florida workers' compensation regulations and industry best practices
Benefits
- 35-hour workweek with work-life balance
- Personal Time (PTO) accrual system
- Up to 14 paid holidays annually, including your birthday
- Paid parental leave
- Major Medical Leave and Catastrophic Leave programs
- Employer-sponsored pension plan
- 457(b) retirement plan with employer match eligibility
- Employer-paid dental insurance
- Health insurance coverage for employees and eligible dependents
- Employer-paid life insurance
- Long-term disability coverage
- Education reimbursement program
- Employee Assistance Program (EAP)
- Civic duty leave for volunteer, jury duty, and voting activities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
