Lost Time Claims Adjuster – Workers' Compensation

This is a fully remote position, open to applicants in Connecticut, +22 more states.

📋 Description

• Oversee lost time and medical-only Workers' Compensation claims.

• Assesses and formulates an action plan to address medical and indemnity benefits related to injury and occupational disease claims.

• Determines the claim's outcome by exercising sound judgment in accordance with established policies, procedures, regulations, and guidelines.

• Collects information through interviews with all relevant parties and considers all aspects of the claim before making a decision.

• Evaluates the eligibility for indemnity and medical benefits once salary data and medical treatment plans have been confirmed and processed.

• Employ proactive reserving practices to ensure sufficient case reserves.

• Collaborates with the assigned claim director, return-to-work specialists, nurse case managers, and both internal and external medical professionals.

• Works in partnership with the injured worker, employer, external counsel, and health and rehabilitation experts to manage claims costs.

⛳️ Requirements

• A Bachelor’s Degree from an accredited college or university is preferred.

• A minimum of three years of experience in the field of workers’ compensation insurance is required.

• Capability to manage claims throughout the litigation process.

• One valid workers’ compensation adjuster license is strongly preferred.

• Preference may be given to candidates with experience in managing claims across multiple states.

• Knowledge of workers’ compensation claims practices and laws, court procedures, precedents, and state statutes.

• Ability to apply logic and sound reasoning to identify alternative solutions for problem-solving.

• Excellent written and verbal communication skills.

• Strong analytical skills.

• Proficient in multitasking and effectively managing time for productivity.

🏝️ Benefits

• Health, Dental & Vision Insurance

• Company-provided life and income protection plans

• Eligibility to participate in a company incentive bonus program

• 401(k) Retirement Plan - 100% company match up to 7% on annual salary

• Paid Time Off, Paid Holidays, and Floating Holidays

• Flexible Work Arrangements - Hybrid and remote depending on the role