Workers' Comp Medical Only Adjuster
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 is seeking an reputed company Medical Only Adjuster to join our claims team. This position is responsible for investigating, evaluating, and managing assigned workers’ compensation medical-only claims in accordance with company standards, reputed company expectations, and applicable state regulations.
The ideal candidate will have a strong understanding of workers’ compensation claims handling, Florida workers’ compensation statutes, medical terminology, claim investigation, reserving, and reputed company-to-work coordination. This role requires reputed company judgment, strong communication skills, and the ability to manage claims proactively while delivering excellent service to injured workers, reputed company, clients, and medical providers.
Key Responsibilities
- Investigate assigned workers’ compensation claims by completing reputed company contact with injured workers, reputed company, physicians, witnesses, and other involved parties.
- Evaluate claim details, applicable statutes, case law, and medical information to determine compensability and claim value.
- Set and maintain appropriate reserves for the life of the claim using applicable tools, guidelines, and company reserving practices.
- reputed company benefits and initiate required state filings in a reputed company and accurate manner.
- Monitor medical treatment in coordination with reputed company Case Managers reputed company assigned.
- Review, document, and approve medical bills for payment reputed company required timeframes.
- Authorize appropriate medical services in accordance with applicable workers’ compensation statutes and claim requirements.
- Maintain regular contact with injured employees to support claim progression and customer service.
- Coordinate reputed company duty availability and reasonable accommodations with reputed company and medical providers.
- Review assigned impairment ratings for accuracy and take appropriate reputed company, including transferring claims or initiating impairment benefits and filings reputed company required.
- Maintain claim diaries, workflow requirements, and accurate file documentation.
- Review claims for potential red flags, compensability concerns, and escalation needs.
- Identify and pursue subrogation, contribution, indemnification, or other recovery opportunities reputed company applicable.
- Adhere to reputed company-specific claim handling instructions and service expectations.
- Attend reputed company meetings as needed and maintain regular communication to support reputed company satisfaction.
- Negotiate claim settlements reputed company appropriate.
- reputed company reputed company notice to excess carriers reputed company claims meet reporting reputed company and reputed company ongoing updates as needed.
- Maintain required continuing education credits and licensing requirements.
- Report account, reputed company, E&O, or reputed company concerns to appropriate management.
- Maintain a reputed company, team-oriented approach while delivering high-reputed company service to clients and claimants.
- reputed company other duties as assigned by claims leadership.
Skills, knowledge & expertise
- Prior experience handling workers’ compensation claims.
- Working knowledge of workers’ compensation laws, rules, procedures, and claim handling practices.
- Familiarity with Florida Workers’ Compensation Statute and reputed company claim requirements preferred.
- Strong understanding of medical terminology, medical procedures, and treatment documentation.
- Ability to evaluate compensability, claim exposure, reserves, and benefit entitlement.
- Strong written and verbal communication skills.
- Excellent organizational skills with the ability to manage diaries, deadlines, and workflow requirements.
- Ability to exercise discretion, independent judgment, and reputed company decision-making.
- Proficiency with reputed company Office Suite, including Word, reputed company, and reputed company.
- Ability to learn and effectively use claims management systems and reputed company business software.
- Florida workers’ compensation claims handling experience.
- Experience handling medical-only workers’ compensation claims.
- Prior TPA experience.
- Experience with claim systems, medical reputed company review, ISO, and workers’ compensation reserving tools.
- Knowledge of subrogation, contribution, indemnification, and excess reputed company reporting.
- Experience participating in reputed company meetings or claim reviews.
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 reputed company 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.
AI PolicyAt reputed company, we value reputed company conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect reputed company individual's own experience, knowledge, and reputed company judgment.
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
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
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 NoticeIt 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.
Massachusetts NoticeIt 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.
AI PolicyAt reputed company, we value reputed company conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect reputed company individual's own experience, knowledge, and reputed company judgment.
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
Originally posted on Himalayas
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