Lost Time Claims Adjuster – Workers' Compensation

Encova Insurance

Managing lost time and medical only Workers' Compensation claims at Encova Insurance. Collaborating with various stakeholders and ensuring proper claim management.

Posted 6/18/2026full-timeRemote • Connecticut, Florida, Illinois, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Missouri, Montana, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $55,132 - $110,642 per yearWebsite

About the role

Key responsibilities & impact

Manage lost time and medical only Workers' Compensation claims.
Evaluates and establishes an action plan to manage medical and indemnity benefits associated with injury and occupational disease claims.
Decides the outcome of the claim using sound judgment by applying established policy, procedures, regulations and guidelines.
Gathers facts by conducting interviews with all involved parties and considers all the elements of the claim prior to issuing a decision.
Determines eligibility of indemnity and medical benefits once salary information and medical treatment plans have been secured and processed.
Utilize proactive reserving behaviors to ensure adequate case reserves.
Consults with assigned claim director, return to work specialists, nurse case managers, and internal/external medical professionals.
Works collaboratively with the injured worker, employer, outside counsel, and health and rehabilitation professionals to manage the claims costs.

Requirements

What you’ll need

Bachelor’s Degree from an accredited college or university is preferred.
Three years of experience in the field of workers’ compensation insurance required.
Ability to manage claims through the litigation process.
One valid workers’ compensation adjuster license is strongly preferred.
Preference may be shown to candidates with multiple state claims management experience.
Experience in workers’ compensation claims practices and laws, court procedures, precedents and state statutes.
Ability to use logic and sound reasoning to identify alternative solutions for problem-solving.
Strong written and verbal communication skills.
Strong analytical skills.
Ability to multitask and manage time effectively and productively.

Benefits

Comp & perks

Health, Dental & Vision Insurance
Company-provided life and income protection plans
Eligibility to participate in a company incentive bonus program
401(k) Retirement Plan - 100% company match up to 7% on annual salary
Paid Time Off, Paid Holidays, and Floating Holidays
Flexible Work Arrangements - Hybrid and remote depending on the role

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

workers' compensation claims managementclaims evaluationindemnity benefits assessmentmedical benefits assessmentcase reservinglitigation process managementproblem-solvinganalytical skillstime management

Soft Skills

strong written communicationstrong verbal communicationcollaborationsound judgmentlogical reasoningmultitasking

Certifications

workers' compensation adjuster license