Medical Adjuster

Mercy

. Provide assistance to Workers' Compensation Coordinators by answering questions and requesting more information to determine claim compensability .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing workers' compensation claims, ensuring compliance with state regulations, and effectively communicating with stakeholders. Proficient in investigating claims, coordinating medical care, and maintaining accurate documentation.

Highest-signal resume keywords

Workers' Compensation Claims HandlingKnowledge of MO, AR, OK and KS RegulationsInsurance BackgroundProfessional Communication SkillsDecision-Making in Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationMedical Care CoordinationDocumentation MaintenanceClaims Resolution SupportWorkers' Compensation Structure Knowledge

Soft Skills

Independent WorkTeam CollaborationVerbal CommunicationWritten Communication

Certifications & Qualifications

Licensure in States Where Mercy Operates

Industry Keywords

Workers' CompensationInsuranceOSHALegal TerminologyMedical Terminology

About the role

Key responsibilities & impact

Provide assistance to Workers' Compensation Coordinators by answering questions and requesting more information to determine claim compensability
Serve as the gatekeeper for the Workers' Compensation program, ensuring consistent application of state regulations and claims handling across the Mercy System
Handle medical-only workers' compensation claims
Work as a team member with Mercy Adjusters handling lost-time and litigated claims
Support workers' compensation claims from initial reporting through resolution
Partner with injured co-workers, leaders, medical providers, and the Workers' Compensation team
Investigate claims and coordinate medical care
Maintain documentation and review payments
Ensure claims are handled timely and in accordance with state requirements

Requirements

What you’ll need

High School Diploma
3 years prior insurance or workers' compensation claims handling
Ability to professionally communicate both verbally and in writing
Ability to work independently and make decisions in compliance with state and federal laws and Mercy's policies/best practices
Licensure in states where Mercy operates (preferred)
Background in insurance and claims (preferred)
Basic knowledge of workers' compensation structure (preferred)
Specific knowledge of MO, AR, OK and KS workers' compensation regulations (preferred)
Knowledge of OSHA, legal, and medical terminology (preferred)
Background in the medical field (preferred)

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Tuition support
Matched retirement plans for team members working 32+ hours per pay period