Workers' Compensation Medical Only Adjuster (Remote)

Davies • Home, AL

5d • Remote

About The Position

Davies North America is 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. This role manages Workers’ Compensation claims from intake through resolution and may support medical-only claim types depending on the assigned client program. 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
• Active FL license
• 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
• Effective negotiation and problem-solving abilities
• Excellent written and verbal communication skills
• Proficiency with claims management systems and related technology
• Active adjuster license(s) or ability to obtain as required

Nice To Haves

• Experience with medical-only, lost time, or blended Workers’ Compensation claim portfolios preferred
• Strong knowledge of Workers’ Compensation laws, benefit structures, and claims processes
• Multi-state claims handling experience
• Experience with EDI reporting and jurisdictional compliance requirements
• Familiarity with nurse case management and medical cost containment strategies

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
• A 401(k) plan with employer matching
• Discretionary Time Off (DTO) for exempt employees
• Paid Time Off (PTO) for non-exempt employees
• Paid holidays
• Life insurance
• 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