Workers’ Compensation Claims Adjuster Job at Alternative HR (Sioux Falls)

Claims Examiner – Workers’ Compensation

This Workers’ Compensation Claims Examiner role requires an analytical, detail‑o...

Location

United States , Alpharetta

Salary:

30.00 - 31.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Must hold a valid adjuster's license to manage Workers Compensation claims or obtain one promptly after starting employment
A minimum of 3 years of experience handling Workers Compensation claims is required
Strong analytical skills with the ability to evaluate and interpret complex information effectively
Excellent organizational and time management skills, with the ability to handle multiple tasks simultaneously
Proven ability to work collaboratively in team settings and maintain positive working relationships
Exceptional verbal and written communication skills to convey information clearly and effectively
Bachelor's degree or equivalent detail-oriented experience is preferred
Commitment to delivering superior performance and customer satisfaction
Current Georgia Workers’ Compensation Adjuster License (required)
Additional licenses: Florida, South Carolina, North Carolina (strong plus)

Job Responsibility

Provide accurate and timely assessments of Workers’ Compensation Lost Time claims
Conduct thorough investigations, evaluate coverage, assess loss exposure, and manage cases according to established guidelines
Identify and appropriately address potential fraud, subrogation opportunities, and coverage concerns
Establish and execute effective case strategies to ensure timely and appropriate claim resolution
Deliver superior customer service to insureds, claimants, agents, underwriters, and internal partners
Communicate timely updates regarding claim activity, trends, and issue escalation
Maintain professional and effective interactions with all stakeholders
Ensure all claim files are up‑to‑date using a consistent diary system to monitor developments, follow‑ups, and required actions
Maintain accurate documentation aligned with regulatory requirements and internal quality standards
Achieve consistent compliance in investigation, coverage evaluation, loss assessment, and case management practices

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Workers’ Compensation Claims Adjuster

We are looking for a skilled Workers’ Compensation Claims Adjuster to help our c...

Location

United States , Saint Paul

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 5 years of experience in workers’ compensation claims management
Strong knowledge of Minnesota workers’ compensation laws and procedures
Proven ability to manage complex workflows and prioritize tasks effectively
Excellent communication skills, both written and verbal
Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook
Familiarity with case management software and litigation processes
Analytical mindset with strong problem-solving abilities

Job Responsibility

Handle complex workers’ compensation claims, conducting investigations, evaluating cases, and negotiating resolutions
Assess compensability, calculate benefits, and approve payments in compliance with applicable laws and company guidelines
Collaborate with attorneys, medical providers, and internal teams to develop treatment plans, return-to-work programs, and settlement strategies
Maintain thorough case documentation in the claims management system and ensure timely reporting to meet regulatory standards
Represent the organization in mediations, settlement conferences, and hearings, often working with external counsel
Identify opportunities for cost savings, early intervention, and fraud prevention in claim handling

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Workers Compensation Claims Adjuster

Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work i...

Location

United States

Salary:

Not provided

Cottingham & Butler

Expiration Date

Until further notice

Requirements

Minimum of 1 year experience as a workers compensation claims adjuster
License/state experience in the Southeast states
Demonstrated knowledge of workers compensation laws and regulations
Strong analytical and problem-solving skills
Excellent communication and negotiation skills
Ability to work independently and in a team environment
Strong organizational and time-management skills
Proficiency in computer programs, including Microsoft Office and claims management software

Job Responsibility

Investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients
Communicating with a wide variety of individuals, to include CEO's, claimants, providers offices, and attorneys

What we offer

Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Company-paid Term Life/ Accidental Death Insurance
Office equipment and IT support
Training and support from our home office

Fulltime

Claims Examiner - Workers Compensation

We are looking for a skilled Claims Examiner specializing in Workers Compensatio...

Location

United States , Alpharetta

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Active Adjuster’s license to handle Workers Compensation claims, or the ability to obtain one immediately upon starting employment
Minimum of three years of experience in Workers Compensation claim handling
Bachelor’s degree or equivalent relevant experience preferred
Proven ability to evaluate, analyze, and interpret complex information
Strong organizational skills and ability to manage multiple tasks effectively
Excellent verbal and written communication skills
Demonstrated critical thinking and decision-making abilities
Experience working collaboratively in team environments

Job Responsibility

Manage and investigate Workers Compensation claims, ensuring compliance with established procedures and regulations
Deliver outstanding customer service to insureds, claimants, agents, and other stakeholders through clear and effective communication
Accurately assess expenses and losses related to Lost Time claims, providing timely and detailed reports
Identify and address coverage issues, potential fraud, and subrogation opportunities while adhering to company guidelines
Develop and execute effective claim strategies to achieve early resolutions and positive outcomes
Maintain organized and up-to-date files using a diary system to monitor progress and follow up on new developments
Communicate trends, issues, and claim activities to internal and external customers in a timely manner
Collaborate with team members to ensure claims are managed and resolved effectively
Provide guidance and direction to colleagues to facilitate efficient claim processing and resolution

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Senior Workers’ Compensation Claims Specialist

We are looking for a fully remote Senior Workers’ Compensation Claims Specialist...

Location

United States , Chicago

Salary:

25.00 - 40.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Hold a valid New York adjuster's license
Manage a complex caseload of workers’ compensation claims from inception through resolution
Ensure compliance with applicable laws and regulations
Deliver excellent customer service
Work closely with internal stakeholders, injured employees, medical providers, and legal counsel

Job Responsibility

Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases
Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability
Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines
Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments
Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives
Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed
Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status

What we offer

Medical
Vision
Dental
Life and disability insurance
Eligibility to enroll in company 401(k) plan

Senior Workers’ Compensation Claim Representative

This is an on-site, full-time temporary role. The Senior Workers’ Compensation C...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Certification to handle California Workers’ Compensation claims is required
Minimum experience in lost time claims handling or similar fields (healthcare, disability, auto injury, etc.)
Working knowledge of California workers' compensation statutes and compliance regulations
Proficiency in Microsoft Office and familiarity with medical terminology and bill processing
Ability to analyze data and incorporate insights into claim resolution
Strong written and verbal communication skills
Must obtain applicable resident/designated home state adjuster license if not already held

Job Responsibility

Manage workers' compensation lost time claims from start to closure
Conduct comprehensive investigations and evaluate compensability
Communicate claim decisions to insureds, claimants, and attorneys
Administer statutory medical and indemnity benefits throughout claim lifecycle
Set and adjust reserves within authority limits
Collaborate with attorneys on hearings and litigation strategies
Direct nurse case managers, rehabilitation vendors, and telephonic case managers
Ensure compliance with all statutory filing requirements
Pursue subrogation opportunities where applicable
Maintain detailed file notes and participate in claim reviews

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Claims Adjuster - Workers' Compensation - Trainee

MAJOR DUTIES RESPONSIBILITIES: Duties may include but are not limited to: - Comp...

Location

United States , Chatsworth

Salary:

30.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

College graduate
Workers Compensation experience preferred
Strong customer orientation
Strong written and oral communication skills
Strong analytical and organizational ability
Strong PC experience
Typing skills of 35-45 wpm
Works well within a team environment
Believes in own judgment and acts to support or defend own choices
Committed to high standards of behavior and performance

Job Responsibility

Compensability investigations in regards to Workers Compensation claims
Handle new losses verifies accuracy of information
Deals with insureds clients and other customers
Complete claim investigation via phone and email to injured workers medical providers and employers
Handles jurisdictional notices payment of benefits scheduling medical appointments completion and filing of necessary forms
Review medical reports and information to determine compensability of claims
Work with Special Investigation Unit when necessary
Direct attorney representation to strategize case resolution
Handles other administrative duties for the team as assigned

What we offer

medical
vision
dental
life and disability insurance
eligible to enroll in company 401(k) plan

Workers’ Compensation Claim Examiner

Location

United States , New Haven

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of Workers’ Compensation Claim Examiner experience or commensurate transferable experience
Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present
Experience working in a fast‑paced, customer‑focused environment
Strong verbal, written, and telephonic communication skills
Prior roles requiring high levels of organization, follow‑up, and accountability
Proficiency with Microsoft Office products
Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting
If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses

Job Responsibility

Handle all aspects of workers’ compensation claims from inception to closure while maintaining strong customer relations
Review claim and policy information to establish investigative background
Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers
Evaluate investigation findings to determine claim compensability
Notify insureds, claimants, and attorneys of claim denials when applicable
Prepare investigative reports, settlements, denials, and evaluations of involved parties
Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim
Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed
Perform regular claim reviews and recommend corrective or remedial actions to address issues
Identify and escalate unusual or potentially adverse exposures to leadership

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Workers’ Compensation Claims Adjuster

Alternative HR

Location:
United States , Sioux Falls

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 20, 2026

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