Source Job

US

  • Reviews claim notices, policies, and state requirements to determine coverage and compensability.
  • Conducts timely claim investigations and coordinates return-to-work efforts with involved parties.
  • Manages claim documentation, settlement evaluations, and collaboration with internal teams and attorneys.

Workers' Compensation Investigation Medical Terminology Communication

20 jobs similar to Workers' Compensation Claims Adjuster

Jobs ranked by similarity.

US

  • Manage a caseload of lost-time workers' compensation claims across multiple jurisdictions, from evaluation through resolution.
  • Investigate workplace injuries, evaluate compensability, negotiate settlements, and coordinate litigated claims.
  • Collaborate with claimants, attorneys, medical providers, and insured businesses to ensure accurate, fair, and efficient claim outcomes.

This company provides workers' compensation claims management services, handling lost-time claims across multiple jurisdictions. The role is fully remote, emphasizing independent work, sound judgment, and high-quality service.

US

  • Manage an inventory of workers' compensation claims to evaluate compensability and liability.
  • Plan and conduct investigations to confirm coverage, determine damages, and negotiate settlements within authority limits.
  • Maintain detailed claim files, authorize timely payments, and represent the company at arbitrations, mediations, or trials.

National Interstate, a member of Great American Insurance Group, provides commercial transportation insurance and alternative risk transfer programs across all 50 states. Its dedicated team has earned multiple Top Workplace honors, with a culture built on integrity, transparency, collaboration, and employee development.

$56,701–$102,219/yr
US

  • Evaluate, negotiate, and settle low to high complexity bodily injury claims to prevent unnecessary exposure.
  • Investigate and analyze medical records, law enforcement reports, and witness statements to determine liability and damages.
  • Coordinate settlement, mediation, and arbitration with attorneys, ensuring compliance with state laws and regulations.

Mercury Insurance helps people reduce risk and overcome unexpected events, providing insurance products and claims services for more than 60 years. They emphasize a collaborative, inclusive culture where team members are encouraged to grow, have fun, and make a meaningful impact.

US Unlimited PTO

  • Manage a caseload of workers' compensation claims from intake through resolution, including lost-time and litigated files.
  • Review and correct AI-generated summaries, chronologies, and risk flags to train the system.
  • Define reserve, compensability, medical management, and return-to-work practices for workflow automation.

Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. The team is small and technical, backed by Y Combinator, with a culture of shipping and direct access to customers.

US

  • Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation medical claims.
  • Review denied or troubled claims, working with employers, insurers, attorneys, and patients to resolve issues.
  • Submit bills and documentation to payers, track payments, and support team special projects for client success.

Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.

$55,132–$88,210/yr
US

  • Investigate, evaluate, estimate, and process property claims primarily by phone or internal communication channels.
  • Handle personal and commercial losses including structure, contents, ALE, scheduled property, and business income coverage.
  • Review independent adjuster and contractor work, assist with contents valuation, and maintain adjuster licensing.

Encova Insurance is a property and casualty insurance provider offering personal and commercial coverage to customers. The company fosters a collaborative culture focused on trust, inclusion, and delivering excellent results through its associates.

US Unlimited PTO

  • Build and lead the claims operation, including hiring, managing adjusters, and setting quality standards.
  • Own claims outcomes for assigned customers and report on them.
  • Partner with product and engineering on workflow design, automation, and reporting.

Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. Backed by Y Combinator and Maverick Ventures, the small, technical team ships weekly and works closely with customers.

$70,000–$83,500/yr
US

  • Investigate, evaluate, negotiate, and resolve personal auto and commercial transportation claims.
  • Manage claims of moderate complexity, including attorney-represented bodily injury cases.
  • Apply strong analytical and negotiation skills to evaluate settlement opportunities and manage exposure.

The company operates in the insurance claims industry, specializing in transportation claims management. It fosters a collaborative, technology-driven culture with a commitment to diversity and inclusion.

US

  • Analyze and evaluate worker's compensation claim payments using proprietary software and tools.
  • Research and acquire medical records and submit claims with supporting documentation to insurance companies.
  • Conduct telephone follow-up with payers to ensure claims are received and facilitate prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging a unified platform to improve financial sustainability. The company is a multi-year Top Workplaces award recipient and has been among the fastest-growing private companies in the US for eleven years.

$60,000–$60,000/yr
US 4w PTO

  • Serve as the operational liaison for incident intake, claim documentation, and insurance carrier follow-up.
  • Support the development of Return-to-Work initiatives and check in with injured educators during recovery.
  • Maintain accurate claims tracking dashboards, OSHA logs, and audit records.

Zen Educate is a technology company that matches schools with temporary educator staff, aiming to reduce fees and help educators earn more. The company is hyperscaling, up 4x year over year, with a collaborative, mission-driven culture focused on caring more.

$15–$15/hr
US

  • Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies. - Research auto accident details to determine responsible payers and submit bills and documentation. - Follow up on denied or incorrect payments and support team with reports, audits, and overall assistance.

Revecore helps hospitals recover earned revenue so they can continue serving patients and communities. Trusted by over 1,300 hospitals across 48 states, the company offers a supportive, innovative culture where employees are trusted to do their best work.

US

  • Resolves medical claims that are not automatically adjudicated, ensuring timely and accurate processing.
  • Investigates and communicates to obtain needed information, and interprets contract benefits.
  • Works from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota.

Arkansas Blue Cross and Blue Shield is a health insurance provider that resolves medical claims and supports member health and wellness. The company is consistently ranked as a best place to work in Central Arkansas, with an average tenure of 10 years and an inclusive culture.

Global

  • Adjust assigned claim files through resolution with high quality, applying coverage and complying with regulations.
  • Communicate with customers via phone, text, email to guide them through the claims process.
  • Write exterior estimates with high accuracy and detail, and issue payments as owed under the policy.

Steadily provides claims adjustment services for insurance, guiding customers through the claims process with empathy and accuracy. They hire top-tier contractors and foster a culture of high performance and teamwork.

$90,000–$115,000/yr
US

  • Adjudicate high-end General Liability claims involving serious injuries, complex coverage scenarios, and legal disputes.
  • Develop case strategies for satisfactory resolution, coordinating with local counsel, clients, and medical or legal experts.
  • Work in a remote, flexible environment with opportunities for career growth and comprehensive benefits.

Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with expertise and AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides a caring culture, professional development, and work-life balance.

$55,132–$88,210/yr
US

  • Investigate and resolve personal and commercial property claims, including structural damage, contents, ALE, and business income.
  • Deliver customer-focused claims service via phone and coordinate with independent adjusters and preferred contractors.
  • Meet productivity targets, maintain adjuster licenses, and support catastrophe response when requested.

They are an insurance organization looking for a remote property claims adjuster to handle personal and commercial losses. The company values customer service, collaboration, and ongoing professional development, and offers a comprehensive benefits package.

$135,000–$175,000/yr
US Unlimited PTO

  • Own the full sales cycle for the claims platform, from sourcing to close.
  • Run discovery, demos, and pilots with claims leadership and IT.
  • Navigate procurement, legal, and security reviews, and carry quota.

Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. Backed by Y Combinator and Maverick Ventures, the small, technical team ships weekly and stays close to customers.

Florida

  • Maintain attorney calendars and schedule hearings, depositions, and mediations.
  • Coordinate with judges, counsel, clients, and vendors; handle e-filing and e-service.
  • Draft correspondence, ensure deadlines, and support paralegals and attorneys.

Kelley Kronenberg is a law firm with a long-running history defending workers' compensation claims for employers, insurance carriers, and corporations. The firm offers a diverse, inclusive, and supportive culture with work-life balance and career development.

$94,458–$179,048/yr
US

  • Investigate and resolve high-severity property claims with empathy and decisive action.
  • Conduct on-site inspections, create detailed estimates using Xactimate, and manage claim files.
  • Negotiate fair settlements and collaborate with internal and external stakeholders.

Mercury Insurance helps people reduce risk and overcome unexpected events. With over 60 years of experience, it is a midsize company that fosters growth, inclusion, and teamwork.

$38,000–$70,000/yr
US 3w PTO

  • Serve as a subject matter expert in initiating Auto and Property claims with precision and professionalism.
  • Provide clear, expert counsel to customers on coverage, filing options, and the claims process.
  • Accurately capture First Notice of Loss documentation and coordinate resources to advance claim resolution.

Liberty Mutual is a Fortune 100 insurance company that helps people safeguard their assets and navigate life's uncertainties through a wide range of insurance products. With a large, inclusive workforce, the company values diverse perspectives and supports employees through comprehensive benefits and professional development opportunities.

US

  • Review insurance policies for property damage covered under the policy.
  • Inspect property damage, take photos, and complete insurance claim forms.
  • Represent homeowners to ensure they are paid fairly by the insurance company.

We are a public adjustment firm representing homeowners to ensure no underpayment by insurance companies for property damage. We offer flexible, commission-based work with training provided, and we value dependability, coachability, and a desire to improve.