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Workers Comp Claims Adjuster

Remote, USA Full-time Posted 2026-05-07
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 Apply tot his job Apply To this Job

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