We’re seeking a skilled Workers’ Compensation Legal Adjuster to take ownership of a dedicated caseload involving Maryland and Florida claims. If you thrive in a dynamic environment, enjoy analytical problem-solving, and excel at driving claims to timely and defensible resolution, this role offers an opportunity to make a meaningful impact while working alongside a collaborative, expert team.
Key responsibilities
In this role, you’ll manage the full life cycle of complex workers’ compensation claims, ensuring accuracy, compliance, and exceptional service throughout. Key responsibilities include:
• Evaluate claims, statutes, and case law in MD & FL to determine compensability, exposure, and reserves.
• Lead investigations, assign defense counsel, and manage litigation strategy.
• Issue timely indemnity payments and complete all required state and EDI filings.
• Monitor medical treatment with Nurse Case Managers and review/approve medical bills promptly.
• Support return-to-work efforts, including vocational rehab, light duty, and accommodation coordination.
• Maintain strong client communication, attend meetings as needed, and ensure service satisfaction.
• Identify red flags, fraud indicators, and subrogation or recovery opportunities.
Required Experience
• 3–5 years of Lost Time/Legal workers’ compensation claims experience
• Current Florida Adjuster or Workers’ Compensation License, with up-to-date CE credits
• Strong background in claim settlements, negotiation, and litigation support
• Proficiency in Microsoft Office Suite
• A proactive, self-driven work style with strong follow-through and attention to detail
Preferred Experience
• Handling presumption claims
• Participation in depositions, mediations, and complex litigation
• Familiarity with IDatix, ISO, Reference Books/Periodicals, Workers Computation, ShoreTel, or similar platforms
Apply Now
Apply Now