Workers Compensation Adjuster

Intercare Holdings Insurance Services

. Receive newly reported claims .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSenior💰 $85,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Workers' Compensation claims across multiple states, including knowledge of relevant laws and medical terminology. Proficient in communication, negotiation, and maintaining effective relationships with claimants and stakeholders.

Highest-signal resume keywords

Workers' Compensation Claims ManagementMulti-State Adjuster LicenseMedical Terminology KnowledgeMicrosoft Office ProficiencyCustomer Service Focus

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingCoverage DeterminationReserve SettingLost-Time Wage CalculationMedical Bill ReviewSubrogation IdentificationIndependent Medical Examination CoordinationClaims Data ReportingNegotiation SkillsLegal Documentation Preparation

Soft Skills

Attention to DetailOrganizational SkillsOral CommunicationWritten CommunicationRelationship Building

Tools & Technologies

Electronic Database ManagementClaims Management Software

Certifications & Qualifications

Adjuster License

Industry Keywords

Workers' Compensation ActLHWCAClaim Validity AssessmentReturn-to-Work OutcomesSettlement ConferencesMediationsHealth Cost Disputes

About the role

Key responsibilities & impact

Receive newly reported claims
Determine coverage under the State Workers’ Compensation Act and exposure to LHWCA
Maintain and update claim notes throughout the claim lifecycle
Record claim information in an electronic database
Interview claimants, insureds, medical professionals, and witnesses to determine claim validity
Communicate claim compensability decisions to claimants, employers, and medical providers
Set appropriate reserves based on the nature and extent of injuries
Calculate lost-time wages and make disability payments to claimants
Report mandatory claims data to state entities within required timeframes
Order independent medical examinations and prepare documentation for physician review
Maintain correspondence with claimants, insureds, clients, and nurse case managers
Review and process medical bills for additional discount opportunities
Collaborate with claimants, clients, and insureds to pursue early return-to-work outcomes
Partner with legal counsel on litigated claims and provide documentation for defense
Attend settlement conferences, mediations, and hearings on behalf of the insurance company
Review and approve defense attorney bills within authority
Work with underwriting on loss information for renewal rates and with Risk Management to identify trends
Respond to state requests for health cost disputes, hearing applications, and penalty assessment letters
Identify subrogation potential and pursue recovery
Lead claim reviews with clients as requested

Requirements

What you’ll need

5+ years experience handling CT, DE, MD, CA, NJ, PA, RI Workers Compensation claims
Multi-state Adjuster license
Experience in, and hold a current adjusters license to handle WC claims in CT, DE, MD, CA, NJ, PA, RI - preferred
High School education
Proficiency in entire Microsoft Office suite
Knowledge of relevant workers’ compensation laws
Strong grasp of medical terminology
Familiarity with medical cases and how treatment typically progresses
Excellent professional oral and written communication abilities
Attention to detail and good organization skills
Ability to negotiate issues and settlements
Strong focus on customer service, including timely response to requests/inquiries
Ability to adapt to changing technologies and learn new equipment and systems
Ability to establish and maintain effective working relationships with others

Benefits

Comp & perks

Comprehensive medical, dental, and vision benefits
Company contributions to HSA and FSA plans
Employer-paid life and disability insurance
401(k) with company match
Paid time off (PTO) and company-paid holidays
Employee assistance resources
Supportive culture that values balance and wellbeing
Full benefits package