# Workers' Compensation Adjuster (Louisiana - Remote)

**Company**: Davies
**Location**: Home, Alabama
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://davies.pinpointhq.com/en/postings/034b140d-a9df-4aa5-a886-a32720e3e5d8?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_06a1c958-d23

## Description

We are seeking a Louisiana Workers’ Compensation Claims Adjuster to investigate, evaluate, and manage Workers’ Compensation claims while delivering timely, cost-effective resolutions and exceptional client service.

## Key Responsibilities

- Own the full lifecycle of Workers’ Compensation claims, from initial investigation through resolution.

- Determine compensability and coverage with confidence and accuracy.

- Conduct detailed investigations, including interviews and evidence gathering.

- Analyze medical, legal, and employment documentation to guide decision-making.

- Manage EDI reporting and ensure CMS Section 111 compliance.

- Develop and execute strategic claim plans for complex and litigated files.

- Partner with defense counsel to drive effective litigation strategies and control costs.

- Negotiate settlements with claimants and attorneys to achieve optimal outcomes.

- Handle catastrophic and high-severity claims with care and precision.

- Leverage preferred vendors and cost-containment tools effectively.

- Deliver clear, insightful reporting to clients and excess carriers.

- Maintain strong client relationships through responsive, professional communication.

- Stay current on jurisdictional requirements, trends, and best practices.

- Support team development through mentorship and knowledge sharing.

- Independently handle Workers’ Compensation claims of moderate complexity, including medical-only and lost time files.

- Conduct investigations, determine compensability, evaluate exposure, and establish appropriate reserves.

- Manage claim strategy, medical and legal developments, and resolution planning with increasing independence.

- Handle some litigated matters and apply sound judgment in negotiations, reserving, and file direction.

- Maintain compliance with jurisdictional requirements and client service expectations.

## Skills, Knowledge & Expertise

- 3+ years of Workers’ Compensation claims handling experience.

- Experience with lost time claims, compensability analysis, and claim strategy preferred.

- Active adjuster licenses as required by Louisiana (or ability to obtain).

- Direct experience handling Louisiana Workers’ Compensation claims (level-dependent).

- Knowledge of Louisiana Workers’ Compensation laws and jurisdictional requirements.

- Understanding of medical terminology and its impact on claim exposure.

- Strong investigation, analysis, and decision-making skills.

- Effective negotiation and communication abilities.

- Ability to manage multiple priorities in a fast-paced environment.

- Proficiency with claims systems and related technology.

- Professionalism in handling sensitive or confidential information.

## Benefits

- Medical, dental, and vision 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 Paid Time Off (PTO) for non-exempt employees.

- Paid holidays.

- Life insurance and short-term and long-term disability coverage.

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## Skills

### Required
- Workers’ Compensation claims handling
- Louisiana Workers’ Compensation laws
- claims systems
- investigation
- analysis
- decision-making
- negotiation
- communication

### Nice to have
- lost time claims
- compensability analysis
- claim strategy

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Source: [Apply at davies.pinpointhq.com](https://davies.pinpointhq.com/en/postings/034b140d-a9df-4aa5-a886-a32720e3e5d8?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)