We are seeking a Michigan Workers" Comp Indemnity Adjuster. This is a direct hire position.
RESPONSIBILITIES:
We are seeking an experienced Indemnity Adjuster to manage a complex workers' compensation desk with a strong emphasis on Michigan lost-time and litigated claims. This role handles primarily indemnity and complex files, with limited medical-only exposure, and requires collaboration with internal leadership and external stakeholders to ensure high-quality, compliant claim outcomes.
- Demonstrate strong working knowledge of Michigan Workers' Compensation regulations and practices
- Investigate claims, determine compensability, establish reserves, and manage ongoing exposure
- Coordinate medical care, wage loss benefits, and return-to-work efforts
- Communicate effectively with all stakeholders, including attorneys, injured workers, employers, carriers, and medical providers
- Utilize claims management systems to document activity, manage workflows, and meet service expectations
- Adhere to quality standards, production benchmarks, and client service level agreements (SLAs)
- Participate in internal reviews, audits, and performance evaluations
Performance Measures
- Compliance with quality and accuracy standards
- Meeting production expectations for claim handling and resolution
- Adherence to client service level agreements (SLAs)
Stakeholders
- External: Defense attorneys, injured workers, employers, clients, carriers, medical providers
- Internal: Supervisor, Manager, Account Manager
QUALIFICATIONS:
Experience & Knowledge
- 2-3 years of workers' compensation claims experience, with a strong focus on indemnity and lost-time claims
- Extensive Michigan workers' compensation experience required
- Prior experience handling litigated claims is required
Licenses & Education
Michigan Adjuster's License required
Reciprocal licenses (Florida or Texas) accepted
Bachelor's degree or equivalent relevant work experience Technical Skills
Proficiency in Microsoft Office (Teams, Outlook/Email, Word)
Experience using CareMC claims system preferred (not required)
Strong documentation, organization, and time-management skills