Workers Comp Claims Adjuster
Workers’ Compensation Claims Adjuster (Pennsylvania) Location: Remote Job Type: Full-Time Industry: Insurance – Workers’ Compensation Claims
About the Role
An established insurance organization is seeking an experienced Pennsylvania Workers’ Compensation Claims Adjuster to manage a caseload of indemnity claims. This role will focus on investigation, compensability decisions, reserve management, and timely claim resolution while ensuring compliance with Pennsylvania jurisdictional requirements. This is a great opportunity for an adjuster who is comfortable handling lost time claims and working independently in a remote environment.
Key Responsibilities
- Manage a caseload of Pennsylvania workers’ compensation claims (primarily indemnity/lost time)
- Investigate claims and determine compensability
- Establish appropriate reserves and adjust as needed
- Coordinate medical treatment and return-to-work plans
- Work with defense attorneys on litigated claims
- Negotiate settlements within authority limits
- Maintain detailed file documentation and diary management
- Communicate regularly with employers, injured workers, and vendors
- Ensure compliance with Pennsylvania WC regulations and timelines
Qualifications
- 3+ years of Pennsylvania workers’ compensation claims experience preferred
- Experience handling indemnity/lost time claims required
- Pennsylvania Adjuster License (if required) or ability to obtain
- Experience handling litigated claims preferred
- Strong reserve authority and claim investigation skills
- Excellent organizational and time management abilities
- Strong written and verbal communication skills
- Ability to work independently in a remote environment
Preferred Experience
- TPA or carrier background
- Experience with Pennsylvania Bureau reporting requirements
- Experience with litigation management
- Multi-state experience is a plus
Compensation & Benefits
- Competitive salary (typically $70K- $80K depending on experience)
- Medical, dental, and vision benefits
- 401(k)
- PTO and paid holidays
- Fully remote work environment
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