Southern Mid-Atlantic Workers Compensation Claims Adjuster - Temp/Remote

Job Description

About the Role:

Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.

Compensation

• $40.00 - $53.00/hr.
• Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
• Comprehensive benefits package including medical, dental, vision, and 401(k).

Responsibilities

• Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
• Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
• Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
• Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
• Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
• Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.

Requirements

• 5+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
• Strong knowledge of South Carolina workers’ compensation statutes and regulations.
• Excellent communication, negotiation, and analytical skills.
• Ability to manage a high-volume caseload effectively and independently.
• SC State adjusting license required.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.