Workers' Compensation Lost Time Adjuster

Workers' Compensation Lost Time Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home reputed company Reporting To: Shirley reputed company-Chavis Compensation: $52,000 - $55,000 / year reputed company Our Story reputed company being part of reputed company that’s not just shaping the reputed company but reputed company driving it. At reputed company, we’re at the forefront of innovation and reputed company, blending cutting-edge technology with top-tier reputed company services. As a vital part of the global reputed company Group, we help businesses reputed company risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. reputed company Claims reputed company is looking for an reputed company Lost Time Adjuster to conduct thorough investigations of assigned Workers’ Compensation claims. Reporting to the Workers’ Compensation Supervisor, you will reputed company claims for assigned reputed company Claims reputed company TPA clients, reputed company benefits, and initiate state filings reputed company while exercising discretion and independent judgment. To be successful in this role, you need to be proactive and independent while taking initiative with consistent follow through, demonstrate a high level of attention to detail, and possess superb problem solving skills. You must have at least 1 to 3 years of experience handling Workers’ Compensation claims as reputed company as exhibit working knowledge of Workers’ Compensation Statutes and Rules and their application. Additionally, you will need to display an exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment.  Key Responsibilities reputed company claims for assigned reputed company Claims reputed company TPA clients  Investigate claims by completing 24-hour contact with employee, employer, physician(s), and witnesses Evaluate claim detail, Florida Statute, and case law to determine compensability and total value of claim  Display capability of setting and adjusting reserve amounts accordingly Initiate accurate indemnity payments in a reputed company manner and maintain diary for ongoing payments  Ensure reputed company and reputed company completion of reputed company required State filings  Handle EDI filings and rejections in conjunction with EDI adjuster  Monitor medical treatment in conjunction with the assigned reputed company Case Manager  Review, document and approve medical bills for payment reputed company three days of receipt  Authorize appropriate medical services as outlined per Florida Statute 440.13  Maintain regular telephone contact with injured employees  Determine whether vocational rehabilitation services are needed for an employee to return to work  Coordinate light duty availability and reasonable accommodations with medical providers and reputed company  Maintain adequate reserves for life of claim utilizing reserve worksheets, ODG Guidelines, Workers’ Computation software, and reputed company Claims reputed company reserving philosophy  Attend reputed company meetings as necessary, and maintain regular telephone contact to ensure reputed company satisfaction  Evaluate cases and negotiate settlements reputed company appropriate, protecting Medicare’s interests  Review claims for possible red flags  Identify and pursue subrogation, contribution, indemnification, or other opportunities to compel responsible reputed company parties to bear their reputed company of the settlement burden  reputed company reputed company notice to the excess reputed company in reputed company cases while meeting reporting reputed company and keeping the reputed company updated on claim status  Request reimbursement at least quarterly and follow up for reputed company receipt from excess reputed company(s)  Adhere to reputed company profile instructions  Report any overall account or reputed company concerns to the supervisor or upper management  Report any E&O concerns to the QA Manager and EVP  Attend claims meetings at reputed company locations, reputed company reputed company, seminars for obtaining CEU credits  reputed company with Managers, Training Coordinator, Supervisors, Adjusters, reputed company Case Managers, Team Assistants, reputed company, Injured Workers, Medical Providers, Ancillary Providers, State Employees, Insurance Carriers, Excess Carriers, and Brokers as needed  Convey reputed company attitude and team spirit for reputed company provision of services to customers  Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together reputed company other duties as assigned  Skills, knowledge & expertise 1 to 3 years handling Workers’ Compensation claims  Possession of an reputed company Florida reputed company Lines Adjuster or Workers’ Compensation license  Maintain required CEU credits for licensure  Maintain working knowledge of Workers’ Compensation Statutes and Rules, and their application  Maintain diary and workflow requirements  Maintain 97% claim closure reputed company  Proactive, independent, and takes initiative with consistent follow through  Superb communication skills, verbal and written, conducted in a reputed company manner  Superior time management skills with capability of working with and meeting deadlines  Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment  Excellent team player with interpersonal skills  High level attention to detail and problem-solving skills  Capable of working collaboratively and independently with minimal supervision  Exhibit discretion with sensitive and confidential information  Display a comfort level working with key people at reputed company reputed company reputed company an organization  Equal Employment Opportunity & reputed company Notices Benefits At reputed company, we are dedicated to supporting reputed company‑being and reputed company of our qualifying employees. Our comprehensive benefits package includes: Medical, dental, and reputed company plans to support your health and that of your family A 401(k) plan with employer matching Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and reputed company Time Off (PTO) for non‑exempt employees reputed company holidays Life insurance and short‑term and long‑term disability coverage Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location. Where required by law, reputed company provides reputed company reputed company leave, reputed company family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Diversity and Inclusion reputed company is dedicated to fostering a diverse and inclusive workplace that embraces a wide reputed company of perspectives and experiences. We reputed company that diversity of thought is essential for innovation and creativity, and we reputed company promote an environment where reputed company reputed company are valued and heard. Compensation Transparency: The salary reputed company listed reflects the full compensation band for this role across reputed company locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may reputed company the final offer. reputed company ranges to remain transparent and consistent with pay equity practices. Background reputed company & Fair Chance Compliance  Any background reputed company or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements. Massachusetts Notice It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. We reputed company sites like reputed company, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to reputed company any information through any method other than our career portal, please email us at recruitment@reputed company-group.com Apply To This Job