Workers’ Compensation Medical Only Claims Adjuster

Insurance Placement Solutions (IPS) has an immediate opening for a Workers’ Compensation Medical Only Claims Adjuster with our client. This is a fully remote temporary opportunity supporting medical-only workers’ compensation claims, with a primary focus on Virginia and Tennessee jurisdictions. Candidates may reside anywhere within the United States.

In this role, you’ll manage medical-only workers’ compensation claims, investigate compensability, evaluate claim exposure, establish appropriate reserves, and oversee medical benefits. You’ll also communicate with agents, policyholders, medical providers, and other business partners to ensure claims are handled accurately and efficiently.

Workers’ Compensation Medical Only Claims Adjuster Responsibilities

• Manage medical-only workers’ compensation claims from assignment through resolution
• Handle claims primarily within Virginia and Tennessee jurisdictions
• Investigate claims and determine compensability
• Evaluate claim exposure and establish appropriate reserves
• Manage medical benefits and treatment associated with assigned claims
• Monitor claim activity and move files toward timely resolution
• Maintain accurate and timely claim documentation
• Communicate with agents, policyholders, medical providers, and other business partners
• Ensure claims are handled in accordance with applicable jurisdictional requirements
• Manage assigned deadlines and claim activities in a timely manner

Qualifications

• Minimum of 2 years of workers’ compensation medical-only claims adjusting experience
• Workers’ compensation claims experience in both Virginia and Tennessee
• Jurisdictional expertise in Virginia and Tennessee workers’ compensation claims

Preferred

• Experience handling workers’ compensation claims in additional Atlantic states

About Insurance Placement Solutions

Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. We connect talented professionals with temporary, temp-to-hire, and direct-hire opportunities at leading insurance organizations across the United States.