Workers' Compensation Medical Only Adjuster (Remote)

Davies • Home, WV

7d • $45,500 - $50,050 • Remote

About The Position

We’re seeking a Workers’ Compensation Medical Only Claims Adjuster who brings strong technical expertise, sound judgment, and a proactive approach to managing indemnity and medical-only claims. You must be licensed in FL to handle workers' compensation claims. This role manages Workers’ Compensation claims from intake through resolution and support medical-only claim types. The adjuster investigates, evaluates, and manages claims in accordance with company guidelines, client expectations, and jurisdictional requirements.

Requirements

• 3+ years of Workers’ Compensation claims handling experience
• Must have an active and valid license in FL (5-20 or 6-20)
• Independently handles Workers’ Compensation claims of moderate complexity
• Determines compensability, conducts investigations, evaluates exposure, and establishes appropriate reserves
• Manages claim strategy, treatment progression, indemnity administration, and return-to-work coordination
• Handles some litigated matters and applies sound judgment in negotiations, reserving, and file direction
• Maintains compliance with jurisdictional requirements, client service expectations, and internal standards

Nice To Haves

• Experience with medical-only Workers’ Compensation claim portfolios preferred

Responsibilities

• 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
• Ensure compliance with all state regulations and internal standards
• Maintain regular and dependable attendance.
• Be available and able to perform job responsibilities during established work hours.

Benefits

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
• Paid holidays
• Life insurance and short‑term and long‑term disability coverage
• Paid sick leave
• Paid family and parental leave

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed