Workers Compensation Medical Only Claims Adjuster | Remote

Investigate reported workplace injuries, gather supporting documentation, and evaluate claim eligibility.

Review claim details to make appropriate compensability decisions in accordance with applicable workers’ compensation regulations.

Oversee medical treatment activities, review provider invoices, and approve services within established authorization limits.

Maintain regular communication with injured employees, employers, healthcare professionals, and other involved parties.

Establish and update claim reserves based on medical expenses, claim developments, and anticipated exposure.

Experience managing medical-only workers’ compensation claims preferred.

Understanding of workers’ compensation laws, medical terminology, and applicable state regulations.

Familiarity with medical billing, treatment coordination, compensability determinations, and claim reserving.

Ability to evaluate medical records, investigate claims, and identify potential changes in claim exposure.

Competitive Medical, Dental and Vision plans

Paid Holidays & Paid Time off