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Find Great People | FGP · 2 days ago

Lost Time Claims Adjuster

United States

Full-time

Remote

Mid Level

$35/hr - $35/hr

4+ years exp

FGP is seeking a remote Lost Time Claims Adjuster to manage self-administered workers’ compensation and casualty claims. This role involves handling the full lifecycle of claims, ensuring compliance with legal requirements, and collaborating with various stakeholders to achieve favorable outcomes.

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