# Workers' Compensation Medical Only Adjuster (Remote)

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

**Apply**: https://davies.pinpointhq.com/en/postings/fc22900b-424d-48e8-b6af-bec214c17afa?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_8623d5a6-695

## Description

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

You will manage Workers’ Compensation claims from intake through resolution and support medical-only claim types. The adjuster investigates, evaluates, and manages 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

- Must have an active and valid license in FL (5-20 or 6-20)

- Experience with medical-only Workers’ Compensation claim portfolios preferred

- Independently handles Workers’ Compensation claims of moderate complexity

- Determines compensability, conducts investigations, evaluates exposure, and establishes appropriate reserves

- Manages claim strategy, treatment progression, indemnity administration, and return-to-work coordination

- Handles some litigated matters and applies sound judgment in negotiations, reserving, and file direction

- Maintains compliance with jurisdictional requirements, client service expectations, and internal standards

### 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
- FL license (5-20 or 6-20)
- Claims adjudication
- Investigation
- Case management
- Medical management
- Indemnity administration
- Litigation management
- Client communication
- Compliance

### Nice to have
- Experience with medical-only Workers’ Compensation claim portfolios

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Source: [Apply at davies.pinpointhq.com](https://davies.pinpointhq.com/en/postings/fc22900b-424d-48e8-b6af-bec214c17afa?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)