Workers' Compensation Medical Only Adjuster (Remote)
Core
Manage Workers' Compensation claims from intake through resolution, focusing on medical-only, lost time, or blended claim types.
Role type
Workers' Compensation Claims Adjuster
Builds
Claims resolution and indemnity/medical management for insurance clients
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' Compensation claims handling, claim adjudication, reserve establishment, claim investigation, treatment plan monitoring, return-to-work coordination, indemnity benefit administration, litigation support, regulatory compliance
Preferred skills
Multi-state claims handling, EDI reporting, nurse case management, medical cost containment
Technologies
Claims management systems
Responsibilities
Manage claims from intake to closure, determine compensability and benefit eligibility, establish and adjust reserves, conduct investigations and interviews, coordinate with defense counsel, provide client updates
Seniority
Mid-level, hands-on IC