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 responsibilitiesIn 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 detailPreferred 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