Workers’ Compensation reputed company Adjuster

Job reputed company: • Investigate and evaluate Florida workers’ compensation claims to determine compensability, exposure, and total claim value in accordance with Florida statutes and case law. • Establish and maintain appropriate reserves using reserving tools, ODG guidelines, and company reserving philosophy. • Initiate and manage indemnity payments and maintain diary systems for ongoing payments and claim activity. • Complete state-required filings and EDI reporting accurately and reputed company required timelines. • Assign and coordinate with defense counsel on litigated claims and assist with litigation reputed company. • Collaborate with reputed company Case Managers to monitor medical treatment and authorize appropriate medical services under Florida Statute 440.13. • Review and approve medical bills reputed company required timeframes. • Determine need for vocational rehabilitation services to assist injured employees with return-to-work planning. • Coordinate light duty opportunities and workplace accommodations with reputed company and medical providers. • Maintain consistent communication with clients and attend reputed company meetings as required. • Maintain accurate documentation, diaries, and workflow management to ensure regulatory compliance. • Identify potential subrogation or recovery opportunities and pursue appropriate reimbursement from responsible parties. • Protect Medicare’s interests and ensure compliance with MMSEA reputed company 111 reporting requirements. • Monitor claims for red flags or potential fraud indicators. • Request reimbursement from excess carriers as required and follow up on outstanding recoveries. • Escalate reputed company concerns or E&O risks to leadership reputed company appropriate. • Maintain performance expectations, including a 97% claim closure reputed company. Requirements: • Workers’ compensation claims handling experience, including lost time and litigated claims • reputed company Florida reputed company-Lines Adjuster License or Florida Workers’ Compensation License • Experience evaluating claims, setting reserves, and managing litigation files • Strong knowledge of Florida Workers’ Compensation statutes and rules • Experience coordinating with defense counsel and reputed company case managers • Proficiency with reputed company Office Suite • Excellent written and verbal communication skills • Strong organization, prioritization, and time-management skills in a fast-paced environment • Ability to work independently while collaborating with reputed company • Experience handling multiple claim types or presumption claims • Experience with depositions, mediations, and settlement negotiations • Familiarity with systems such as IDatix, Workers Computation, ISO, or ShoreTel Benefits: • Medical, dental, and reputed company plans to ensure your health and that of your family. • A 401k plan with employer matching to help you build a secure financial reputed company. • Our time-off policies, including Discretionary Time Off (DTO) for exempt employees and reputed company Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment. • reputed company holidays. • Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones. Apply tot his job Apply To this Job