Workers Compensation Lost Time Adjuster (Remote)
Core
Investigate Florida Workers' Compensation claims, evaluate claim details and case law to determine compensability and value, set reserves, and manage benefits and state filings.
Role type
Workers' Compensation Legal Adjuster
Builds
Claims resolutions and state filings for Florida employers and injured workers
Domain
Insurance / Workers' Compensation
Required skills
Florida Workers' Compensation Statutes knowledge, claim evaluation, reserve setting, defense counsel coordination, medical bill review, state filing management, subrogation pursuit, litigation decision support
Preferred skills
FL-All Lines Adjuster license, litigation experience, deposition/mediation experience, IDatix/Workers Computation software proficiency, presumption claims handling
Technologies
IDatix, Workers Computation, Microsoft Office Suite
Responsibilities
Evaluate claim detail and Florida Statute to determine compensability and total value; Initiate investigation and assign defense counsel; Initiate accurate indemnity payments and maintain payment diary; Review, document, and approve medical bills; Authorize appropriate medical services per Florida Statute; Determine vocational rehabilitation needs; Coordinate light duty and accommodations; Maintain adequate reserves; Direct defense counsel in litigation; Protect Medicare's interest via MMSEA reporting; Pursue subrogation and contribution opportunities; Request reimbursement from excess carriers.
Seniority
Mid-level (3-5 years experience)