Medical Claim Adjuster

Key Responsibilities

• Investigate and determine compensability for assigned medical-only workers' compensation claims in multiple jurisdictions.
• Review medical documentation and monitor treatment to ensure ongoing care is related to the work injury.
• Document claim activity, maintain claim files, and establish appropriate reserves.
• Process benefits and complete required statutory filings in compliance with applicable laws and regulations.
• Communicate with injured workers, employers, medical providers, and agency partners.
• Escalate and transfer claims as appropriate based on claim complexity and company guidelines.
• Manage claims efficiently while ensuring accuracy, compliance, and quality customer service.

Qualifications

• Detail-oriented and analytical skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Knowledge of workers' compensation regulations and best practices.
• Proficiency in Microsoft Office Suite.

Benefits

• Flexible Work Environment
• Paid Family Leave
• Competitive PTO & Holidays
• Recognition & Bonus Programs
• Medical, Vision, Dental & Life Insurance
• Employee Referral Bonus
• Paid Volunteer Time
• 401(k) Match & Profit-Sharing

Pay

The salary range for this position is $22.54-$34.72 hourly. This salary range is an estimate and the actual salary will vary based on applicant’s education, experience, knowledge, skills, and abilities.

Schedule

This is a hybrid eligible role (3 days in office and 2 remote).