Workers' Compensation Claims Adjuster

Broward County Public Schools

. Handle first-line workers’ compensation claims, including benefit determination based on statutory provisions, legal precedence, regulatory rules, and administrative policy and procedure .

Posted 11/10/2026full-timeSunrise • Florida • United StatesJuniorMid-Level💰 $66,556 - $120,956 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing workers' compensation claims, including benefit determination, compliance with Florida statutes, and proactive litigation management. Proficient in developing claim action plans and collaborating with medical case managers to integrate services into claim strategies.

Highest-signal resume keywords

Workers' Compensation Claims ManagementFlorida Workers' Compensation StatutesClaims AdjudicationFinancial Management TechniquesBilingual Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit DeterminationClaims InvestigationCase ReservingSettlement EvaluationIndemnity Payments ProcessingClaims Administration System DocumentationAverage Weekly Wage DeterminationThird-Party RecoveriesCollaborative ResolutionClaims Diary Management

Soft Skills

Problem-SolvingCommunicationCollaborationAnalytical ThinkingAttention to Detail

Tools & Technologies

Claims Administration SystemFinancial Management Software

Certifications & Qualifications

Florida 6-24 LicenseFlorida 6-20 LicenseCPCUAICCWC

Industry Keywords

Workers' CompensationInsuranceLitigationRegulatory ComplianceMedical Case Management

About the role

Key responsibilities & impact

Handle first-line workers’ compensation claims, including benefit determination based on statutory provisions, legal precedence, regulatory rules, and administrative policy and procedure
Manage the financial, legal, statutory/regulatory, and administrative activities for an assigned inventory of individual claims
Serve as custodian of intellectual integrity of the District’s workers’ compensation program core principles
Partner with the medical case manager to integrate medical services into claim strategy
Investigate facts and circumstances of individual claims and adjudicate benefits
Develop claim action plans to bring claims to appropriate closure
Identify claim issues, determine solutions, and reach collaborative resolutions
Manage claims through proactive litigation management and financial management techniques
Perform case reserving, average weekly wage determination, settlement evaluation, excess-loss reporting, and third-party recoveries/subrogation
Manage compliance with statutes, regulations, and administrative processes
Document and communicate claim activity in the claims administration system and among claim parties
Gather evidence and investigate coverage, compensability, medical causality, and denial issues
Manage claim diaries and schedule future claim activities
Analyze, compute, process, and document indemnity payments
Escalate claims meeting predetermined criteria to the claims supervisor
Participate in multidisciplinary roundtable meetings for case strategy
Review claim-level data and reports to manage daily operations
Maintain technical competency through industry developments, literature, conferences, and continuing education

Requirements

What you’ll need

A standard high school diploma or satisfactory completion of an approved General Educational Development (GED) Testing Program
A minimum of two (2) years of experience in workers’ compensation or related fields including but not limited to insurance, finance, or litigation
A Florida 6-24 (workers’ compensation adjuster) license or Florida 6-20 (all lines of insurance) license
Computer skills are required for the position
An earned bachelor’s degree from an accredited institution (preferred)
Three (3) or more years of experience in workers’ compensation or related fields (preferred)
Industry certification/designation such as CPCU, AIC, CWC, and/or similar industry recognized certification or designation (preferred)
In depth knowledge of Florida workers’ compensation statutes and regulation and experience in the application of the law and rules (preferred)
Bilingual skills (preferred)

Benefits

Comp & perks

Salary and benefits shall be paid consistent with the District's approved compensation plan
Hybrid/Remote work arrangement