Workers' Medical Adjuster; Remote

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Home United States

Reporting To: WC Supervisor

Compensation: $52,000 - $55,000 / year

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America
, we’re at the forefront of innovation and excellence, blending cutting‑edge technology with top‑tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

At Davies North America, we’re focused on delivering smart, efficient claims solutions that make a real impact for our clients. We’re seeking a Workers’ Compensation Medical Only Claims Adjuster who brings strong technical expertise, sound judgment, and a proactive approach to managing indemnity and medical-only claims.

This role manages Workers’ Compensation claims from intake through resolution and may support medical-onlyclaim types depending on the assigned client program. The adjuster investigates, evaluates, and manages claims in accordance with company guidelines, client expectations, and jurisdictional requirements.

• Manage Workers’ Compensation claims from intake through closure
• Determine compensability and benefit eligibility
• Establish and adjust reserves based on claim exposure

• Conduct investigations, including interviews and documentation review
• Develop and execute claim strategies
• Identify opportunities for early resolution

• Monitor treatment plans and coordinate return-to-work efforts
• Administer indemnity benefits in compliance with jurisdictional requirements

• Coordinate with defense counsel on litigated claims
• Support hearings, mediations, and settlements
• Client Communication & Compliance
• Provide timely updates to clients and stakeholders
• Ensure compliance with all state regulations and internal standards

• 3+ years of Workers’ Compensation claims handling experience
• Active FL license
• Experience with medical-only, lost time, or blended Workers’ Compensation claim portfolios preferred
• Strong knowledge of Workers’ Compensation laws, benefit structures, and claims processes
• Experience managing indemnity payments and return-to-work programs
• Ability to handle multiple claims in a fast‑paced environment
• Strong investigative, analytical, and decision‑making skills
• Effective negotiation and problem‑solving abilities
• Excellent written and verbal communication skills
• Proficiency with claims management systems and related technology
• Active adjuster license(s) or ability to obtain as required

• Multi‑state claims handling experience
• Experience with EDI reporting and jurisdictional compliance requirements
• Familiarity with nurse case management and medical cost containment strategies

At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:

• 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

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s…