Workers Compensation Claims Adjuster

Workers Compensation Claims Adjuster

The Florida League of Cities is seeking an experienced Workers' Compensation Claims Adjuster to join our team. This role offers the opportunity to manage complex workers' compensation claims while working in a collaborative environment that values professional growth, employee well-being, and work-life balance.

Hybrid Work Schedule: After successful completion of six (6) months of employment, employees are eligible for a hybrid work arrangement, working three days in the office and two days remotely.

Why Join the Florida League of Cities?

We offer a highly competitive benefits package designed to support you both professionally and personally:

• Hybrid work schedule after 6 months of employment (3 days in office, 2 days remote)
• 35-hour work week with business hours Monday–Friday, 9:00 a.m. – 5:00 p.m.
• Variable work schedule after three months of employment.
• 14 paid holidays, including: Your birthday, a floating holiday for a religious or cultural observance
• Generous Personal Time (PT) Accrual Program
• Paid Parental Leave – Up to 6 weeks for birth, adoption, or foster placement
• Major Medical Leave
• Comprehensive Health Insurance with employer contributions toward employee and dependent coverage
• 100% Employer-Paid Dental Insurance for employees
• Employer-Paid Life Insurance equal to annual salary
• Long-Term Disability Coverage
• Defined Benefit Pension Plan and a 457(b) Retirement Plan with employer match after one year of employment
• Tuition Reimbursement up to: $2,800 annually for undergraduate studies, $5,600 annually for graduate studies
• Flexible Spending Accounts (Medical and Dependent Care)
• Employee Assistance Program (EAP) available on your first day of employment
• Business travel reimbursement, including mileage, tolls, parking, and related expenses
• Paid civic leave for jury duty, voting, community volunteering, and other qualifying civic responsibilities

Position Summary

The Workers' Compensation Claims Adjuster investigates, evaluates, negotiates, and resolves workers' compensation lost-time claims. This position serves as a key resource for members, providers, injured workers, attorneys, and other stakeholders while ensuring claims are managed effectively and in compliance with Florida law.

Essential Responsibilities

• Determine coverage and compensability of workers' compensation claims.
• Review and establish claim files upon receipt of First Notice of Injury.
• Conduct thorough investigations by obtaining information from claimants, employers, witnesses, medical providers, attorneys, and other relevant parties.
• Obtain recorded statements when necessary.
• Evaluate claims and make sound decisions regarding reserves, compensability, and settlement opportunities.
• Negotiate settlements through telephone and written communications.
• Resolve claims within established settlement authority.
• Maintain accurate and complete claim documentation.
• Manage diaries and follow-up activities to ensure timely claim handling.
• Pursue subrogation, SDF recoveries, and other recovery opportunities.
• Participate in training and continuing education to maintain industry knowledge and compliance.
• Maintain confidentiality and professionalism in all aspects of claim handling.
• Perform other related duties as assigned with occasional travel as required.

Qualifications

Knowledge, Skills, and Abilities

• Strong knowledge of Florida Workers' Compensation laws and regulations.
• Ability to investigate, evaluate, negotiate, and resolve claims effectively.
• Strong analytical and decision-making skills.
• Ability to interpret insurance policies, legal documents, and medical records.
• Excellent verbal and written communication skills.
• Ability to build professional relationships with members, injured workers, attorneys, medical providers, and colleagues.
• Strong organizational skills with the ability to manage multiple priorities.

Education and Experience

• Bachelor's degree in Insurance, Business Administration, or a related field preferred; or
• High school diploma/GED with three to five years of Workers' Compensation claims handling experience.
• Current and valid Florida Workers' Compensation Claims Adjuster License required.

Equal Opportunity Employer

The Florida League of Cities is an Equal Opportunity Employer and considers all qualified applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under applicable law.

Please Note: This is a tobacco-free workplace. Applicants who use tobacco products are not eligible for employment.