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Find Great People | FGP · 1 day ago

Workers' Comp Claims Adjuster

United States

Full-time

Remote

Mid Level

$35/hr - $35/hr

4+ years exp

Find Great People (FGP) is seeking a remote Workers' Comp Claims Adjuster to handle self-administered workers’ compensation and casualty claims across multiple states. The role involves managing the full lifecycle of each claim, serving as the main contact for various stakeholders, and ensuring compliance with legal and regulatory requirements.

ConsultingHuman ResourcesInformation Technology

Growth Opportunities

Hiring Manager

Christen Moore

Responsibilities

Manage a designated caseload of workers’ compensation claims within established performance benchmarks and financial authority

Conduct thorough investigations to determine coverage, compensability, and liability while ensuring adherence to all legal and regulatory requirements

Track and complete all required statutory filings and deadlines in a timely manner

Evaluate claim details to develop strategies that drive favorable outcomes and reduce overall risk and costs to the organization

Identify potential fraud indicators and pursue subrogation opportunities when applicable

Oversee medical treatment plans, facilitate return‑to‑work efforts, and manage prescription authorizations in coordination with pharmacy benefit managers

Apply knowledge of employment laws—including FMLA and ADA—when coordinating claim activities

Partner with Safety teams to identify workplace risks and support initiatives that reduce future injuries

Build strong working relationships with internal stakeholders (HR, Legal, Operations, Brand teams) and external partners (attorneys, healthcare providers, vendors)

Oversee a claims portfolio and serve as the primary contact for resolving claim-related questions or issues from associates, vendors, and brand partners

Research and address legal or procedural concerns related to ongoing claims and provide timely communication through phone, email, and digital platforms