Workers Compensation Claims Adjuster

G-TECH

2 days ago
Remote

$70,000–$85,000 Per Year
Full-time

Highlights

Working closely with case managers, outcome managers, and legal counsel, you will oversee claim investigations, subrogation, settlement negotiations, and return-to-work efforts. Relevant experience; Licensed or certified in any of the following states: IL, IN, KY and/or MI.

Numbers & Facts

Location	( Remote)
Job Type	Full-time
Salary	$70,000–$85,000 Per Year

Description

Great opportunity for a Workers' Compensation Claims Specialist!

Relevant experience; Licensed or certified in any of the following states: IL, IN, KY and/or MI

100% remote. No evenings, weekends or holidays!

Paid training, Equipment provided

Compensation range: $70k- $85k, bonus potential!! Excellent employee benefits.

OVERVIEW

We are seeking a Senior Workers' Compensation Claims Specialist to manage complex, high-profile claims while maintaining strong customer service standards and driving cost-effective claim outcomes. Working closely with case managers, outcome managers, and legal counsel, you will oversee claim investigations, subrogation, settlement negotiations, and return-to-work efforts.

Job Responsibilities

Essential Functions & Responsibilities

Receive Workers’ Compensation claims, confirm policy coverage, and issue formal acknowledgments.
Investigate claim validity and compensability, filing required documentation with state regulatory agencies.
Establish reserves and authorize payments within assigned reserving authority limits.
Develop and execute documented action plans alongside case managers to optimize outcomes and minimize overall claim costs.
Coordinate early return-to-work programs and manage claim litigation, subrogation, and recoveries.
Report applicable claims to excess carriers and communicate status updates to claimants, clients, and policyholders.
Ensure strict compliance with state-specific Workers' Compensation rules, regulations, and carrier guidelines.

Qualifications

State Jurisdiction Knowledge: Knowledge of Workers' Compensation laws in at least two (2) of the following states is strictly required: IL, IN, KY, or MI. Strong experience in Indiana (IN) is highly desired for immediate desk assignments.
Licensure: Must possess an active Designated Home State (DHS) license or state equivalent adjuster license. State certification/licensure must be maintained throughout employment.
Experience: Minimum of 3 years of hands-on Workers' Compensation claims handling experience.
Education: Bachelor’s degree or an equivalent combination of education and direct industry experience. Self-Insured Certificate is preferred.
Technical & Soft Skills: Proficiency in Microsoft Office (Excel, Word, Outlook), strong analytical problem-solving abilities, excellent written and verbal communication, and the ability to mentor junior team members on claims practices

Skills

About Company

Why work with the OpTech/GTECH?

We are woman-owned, value your ideas, encourage your growth, and always have your back! When you work with us, you get health and dental benefits, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today!

OpTech/GTECH are Equal Opportunity Employers (EOE), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Applying for this role is acknowledgement that automated systems and AI-assisted technologies may be used in recruiting operations.