Workers Compensation Claims Adjuster

Florida League of Cities•Orlando, FL

22h•Hybrid

About The Position

The Florida League of Cities is seeking an experienced Workers’ Compensation Claims Adjuster to join their team. This role involves managing complex workers’ compensation claims in a collaborative environment that values professional growth, employee well-being, and work-life balance. The position investigates, evaluates, negotiates, and resolves workers’ compensation lost-time claims, serving as a key resource for members, providers, injured workers, attorneys, and other stakeholders while ensuring claims are managed effectively and in compliance with Florida law.

Requirements

Strong knowledge of Florida Workers’ Compensation laws and regulations.
Ability to investigate, evaluate, negotiate, and resolve claims effectively.
Strong analytical and decision-making skills.
Ability to interpret insurance policies, legal documents, and medical records.
Excellent verbal and written communication skills.
Ability to build professional relationships with members, injured workers, attorneys, medical providers, and colleagues.
Strong organizational skills with the ability to manage multiple priorities.
Bachelor’s degree in Insurance, Business Administration, or a related field preferred; or High school diploma/GED with three to five years of Workers’ Compensation claims handling experience.
Current and valid Florida Workers’ Compensation Claims Adjuster License required.

Responsibilities

Determine coverage and compensability of workers’ compensation claims.
Review and establish claim files upon receipt of First Notice of Injury.
Conduct thorough investigations by obtaining information from claimants, employers, witnesses, medical providers, attorneys, and other relevant parties.
Obtain recorded statements when necessary.
Evaluate claims and make sound decisions regarding reserves, compensability, and settlement opportunities.
Negotiate settlements through telephone and written communications.
Resolve claims within established settlement authority.
Maintain accurate and complete claim documentation.
Manage diaries and follow-up activities to ensure timely claim handling.
Pursue subrogation, SDF recoveries, and other recovery opportunities.
Participate in training and continuing education to maintain industry knowledge and compliance.
Maintain confidentiality and professionalism in all aspects of claim handling.
Perform other related duties as assigned with occasional travel as required.

Benefits

Hybrid work schedule after 6 months of employment (3 days in office, 2 days remote)
35-hour work week with business hours Monday–Friday, 9:00 a.m. – 5:00 p.m.
Variable work schedule after three months of employment.
14 paid holidays, including: Your birthday, A floating holiday for a religious or cultural observance
Generous Personal Time (PT) Accrual Program
Paid Parental Leave – Up to 6 weeks for birth, adoption, or foster placement
Major Medical Leave
Comprehensive Health Insurance with employer contributions toward employee and dependent coverage
100% Employer-Paid Dental Insurance for employees
Employer-Paid Life Insurance equal to annual salary
Long-Term Disability Coverage
Defined Benefit Pension Plan
457(b) Retirement Plan with employer match after one year of employment
Tuition Reimbursement up to: $2,800 annually for undergraduate studies, $5,600 annually for graduate studies
Flexible Spending Accounts (Medical and Dependent Care)
Employee Assistance Program (EAP) available on your first day of employment
Business travel reimbursement, including mileage, tolls, parking, and related expenses
Paid civic leave for jury duty, voting, community volunteering, and other qualifying civic responsibilities