Overview
Skills
Job Details
Insurance Company
100% REMOTE
Needed ASAP
PART TIME 25-35 hours per week OR FULL TIME 40 hrs
Contract until 8/15/2025
Must work on W2
Background and drug test required.
Loss Time Adjuster- Must be experienced handling claims in NC and SC and Maryland
Job Description: Lost Time Adjuster (Contingent) Remote
Position Overview:
Insurance is seeking a remote Lost Time Adjuster to join the team on a contingent basis to cover a leave of absence. This position is responsible for managing indemnity claims, including the investigation, evaluation, and determination of compensability for work-related injury and disease claims. The ideal candidate will deliver high-quality service in a cost-effective manner and collaborate across departments to support positive claim outcomes.
Key Responsibilities:
- Manage and evaluate medical and indemnity benefits to drive claims to a cost-effective resolution.
- Determine claim outcomes using company guidelines, regulations, and sound judgment.
- Conduct interviews and take recorded statements to gather facts and determine compensability.
- Set and adjust case reserves proactively based on the evolving circumstances of the claim.
- Pursue subrogation opportunities and manage litigation with panel counsel.
- Collaborate with claim directors, RTW specialists, nurse case managers, and legal teams.
- Work directly with injured workers, employers, and providers to support quality care and return-to-work plans.
- Review reports from medical, legal, and vocational experts to adjust claim strategy as needed.
- Present and discuss claim findings in team meetings, internal reviews, and policyholder discussions.
Required Qualifications:
- 2+ years of lost time workers' compensation adjusting experience
- Experience handling claims in NC and/or SC is preferred
- Strong time management, communication, and problem-solving skills
- Proficient with Microsoft Office Suite (Excel, Word, Outlook)