Job Description
About the Role:
Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.
Compensation:
- $40.00 - $50.00/year(based on experience)
- Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
- Comprehensive benefits package including medical, dental, and vision
- Opportunities for career growth within a stable and respected insurance organization.
- 100% remote work environment
Responsibilities
- Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
- Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
- Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
- Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
- Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
- Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.
Requirements
- 5+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
- Strong knowledge of North Carolina, South Carolina, and/or Alabama workers’ compensation statutes and regulations.
- Excellent communication, negotiation, and analytical skills.
- Ability to manage a high-volume caseload effectively and independently.
- NC, SC, and/or AL State adjusting license required.
Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
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