Lost Time Workers Compensation Claims Adjuster

MDD Forensic Accountants

Claims Specialist managing Workers’ Compensation claims for self-insured accounts at Davies North America. Handling complex claims with excellent customer service and independent decision making.

Posted 6/18/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $80,000 per yearWebsite

About the role

Key responsibilities & impact

Responsible for the investigation, evaluation, disposition, and settlement of Workers’ Compensation claims
Manage and direct the claim file including determination of indemnity
Handle legal aspects of the file in negotiation of settlement
Maintain system diary, keeping all files current according to company standards and State timeframes
Evaluate files for reserve potential and for settlement
Document and communicate all claim activity timely and effectively
Interact extensively with various parties involved in the claim process
Manage EDI requirements per state and company protocol in a timely and appropriate manner
Properly handle status reports/claim reviews with clients

Requirements

What you’ll need

Active Adjuster license (FL 5-24, 5-20 or 6-20)
A minimum of three years of Florida claims-related experience with a consistent high level of performance and achievement
Extensive knowledge of accepted industry standards and practices including case law
Ability to successfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation
Maintain knowledge of current trends, standards and law changes
Ability to effectively operate a personal computer and related claims and business software
Must be self-directed and able to work independently
Ability to effectively present status updates in claims meetings with clients

Benefits

Comp & perks

Medical, dental, and vision plans to support your health and that of your family
A 401(k) plan with employer matching
Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
Paid holidays
Life insurance and short‑term and long‑term disability coverage
Paid sick leave, paid family and parental leave, and other mandated benefits

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Workers’ Compensation claims managementindemnity determinationsettlement negotiationfile evaluationreserve potential assessmentclaim documentationEDI requirements managementstatus report handlingclaims-related experiencecase law knowledge

Soft Skills

communicationnegotiationself-directedindependent workpresentation skillsinterpersonal skillsorganizational skillstimelinessattention to detailproblem-solving

Certifications

Active Adjuster license (FL 5-24)Active Adjuster license (FL 5-20)Active Adjuster license (FL 6-20)