Lost Time Workers Compensation Claims Adjuster

Responsibilities

• Investigate, evaluate, dispose of, and settle Workers’ Compensation claims.
• Manage and direct claim files, including determination of indemnity.
• Handle legal aspects of the file in negotiation of settlement.
• Maintain system diary, keeping files current according to company standards and State timeframes.
• Evaluate files for reserve potential and for settlement.
• Document and communicate all claim activity timely and effectively.
• Interact extensively with various parties involved in the claim process.
• Manage EDI requirements per state and company protocol in a timely and appropriate manner.
• Properly handle status reports/claim reviews with clients.

Requirements

• Active Adjuster license (FL 5-24, 5-20 or 6-20)
• A minimum of three years of Florida claims-related experience with a consistent high level of performance and achievement
• Extensive knowledge of accepted industry standards and practices including case law
• Ability to successfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation
• Maintain knowledge of current trends, standards and law changes
• Ability to effectively operate a personal computer and related claims and business software
• Must be self‑directed and able to work independently
• Ability to effectively present status updates in claims meetings with clients