Workers' Compensation Medical Only Adjuster (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 supports medical-only claim types. The adjuster investigates, evaluates, and manages claims in accordance with company guidelines, client expectations, and jurisdictional requirements. The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
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
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
