Workers’ Compensation Legal Adjuster (MD & FL Claims)

We’re seeking a skilled Workers’ Compensation Legal Adjuster to take ownership of a dedicated caseload involving Maryland and Florida claims. If you thrive in a dynamic environment, enjoy analytical problem-solving, and excel at driving claims to timely and defensible resolution, this role offers an opportunity to make a meaningful impact while working alongside a collaborative, expert team. Key responsibilities In this role, you’ll manage the full life cycle of complex workers’ compensation claims, ensuring accuracy, compliance, and exceptional service throughout. Key responsibilities include: • Evaluate claims, statutes, and case law in MD & FL to determine compensability, exposure, and reserves. • Lead investigations, assign defense counsel, and manage litigation strategy. • Issue timely indemnity payments and complete all required state and EDI filings. • Monitor medical treatment with Nurse Case Managers and review/approve medical bills promptly. • Support return-to-work efforts, including vocational rehab, light duty, and accommodation coordination. • Maintain strong client communication, attend meetings as needed, and ensure service satisfaction. • Identify red flags, fraud indicators, and subrogation or recovery opportunities. Required Experience • 3–5 years of Lost Time/Legal workers’ compensation claims experience • Current Florida Adjuster or Workers’ Compensation License, with up-to-date CE credits • Strong background in claim settlements, negotiation, and litigation support • Proficiency in Microsoft Office Suite • A proactive, self-driven work style with strong follow-through and attention to detail Preferred Experience • Handling presumption claims • Participation in depositions, mediations, and complex litigation • Familiarity with IDatix, ISO, Reference Books/Periodicals, Workers Computation, ShoreTel, or similar platforms Apply tot his job