Workers' Compensation Medical Only Claims Adjuster (Remote)
Core
Manage Workers' Compensation medical-only and indemnity claims from intake through resolution, including investigation, reserve setting, and return-to-work coordination.
Role type
Workers' Compensation Claims Adjuster
Builds
Claims resolution and compliance with jurisdictional requirements
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' Compensation law knowledge, claims adjudication, investigation, reserve management, return-to-work coordination, litigation support, negotiation, claims management systems proficiency
Preferred skills
Multi-state claims experience, EDI reporting, nurse case management, medical cost containment
Technologies
Claims management systems
Responsibilities
Manage claims from intake to closure, determine compensability, establish reserves, conduct investigations, coordinate return-to-work, support litigation, communicate with clients
Seniority
Individual Contributor