# Workers' Compensation Lost Time Adjuster (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/2c01966a-9ac1-4ea7-b24a-37f5c88e208c?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_39aea3fb-fe7

## Description

We’re seeking a Workers’ Compensation Lost Time Adjuster who brings strong technical expertise, sound judgment, and a proactive approach to managing indemnity and medical-only claims.

As the Workers' Compensation Lost Time Adjuster, you will investigate, evaluate, and manage claims in accordance with company guidelines, client expectations, and jurisdictional requirements.

## Key Responsibilities

### Claim Ownership & Adjudication

- Manage Workers’ Compensation claims from intake through closure

- Determine compensability and benefit eligibility

- Establish and adjust reserves based on claim exposure

### Investigation & Case Management

- Conduct investigations, including interviews and documentation review

- Develop and execute claim strategies

- Identify opportunities for early resolution

### Medical & Indemnity Management

- Monitor treatment plans and coordinate return-to-work efforts

- Administer indemnity benefits in compliance with jurisdictional requirements

### Litigation Management

- Coordinate with defense counsel on litigated claims

- Support hearings, mediations, and settlements

### Client Communication & Compliance

- Provide timely updates to clients and stakeholders

- Ensure compliance with all state regulations and internal standards

## Skills, Knowledge & Expertise

- 3+ years of Workers’ Compensation claims handling experience

- Experience with medical-only, lost time, or blended Workers’ Compensation claim portfolios preferred

- Must have active FL-license (6-20 or 5-20)

- Must have presumption experience

- Must be located in Eastern Time Zone and be able to work M-F, 8am - 5pm.

- Strong knowledge of Workers’ Compensation laws, benefit structures, and claims processes

- Experience managing indemnity payments and return-to-work programs

- Ability to handle multiple claims in a fast-paced environment

- Strong investigative, analytical, and decision-making skills

- Effective negotiation and problem-solving abilities

- Excellent written and verbal communication skills

- Proficiency with claims management systems and related technology

- Active adjuster license(s) or ability to obtain as required

## Preferred

- Experience with EDI reporting and jurisdictional compliance requirements

- Familiarity with nurse case management and medical cost containment strategies

## 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

## Skills

### Required
- Workers’ Compensation claims handling
- Claims management systems
- Investigative skills
- Analytical skills
- Communication skills
- FL-license (6-20 or 5-20)
- Presumption experience

### Nice to have
- EDI reporting
- Jurisdictional compliance requirements
- Nurse case management
- Medical cost containment strategies

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Source: [Apply at davies.pinpointhq.com](https://davies.pinpointhq.com/en/postings/2c01966a-9ac1-4ea7-b24a-37f5c88e208c?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)