Field Claims Adjustor (Orange/Osceola) Position Available In Orange, Florida

Field Claims Adjustor (Orange/Osceola) 3.7 3.7 out of 5 stars Orange County, FL Job Overview We are seeking a dedicated and detail-oriented Field Claims Adjustor to join our team in the Orange/Osceola area. The ideal candidate will be responsible for evaluating and processing insurance claims, ensuring compliance with relevant laws and regulations. This role requires strong organizational skills and a solid understanding of medical documentation, billing, and coding practices. Duties Exercises independent judgment within broad authority on complex workers’ compensation claims, including catastrophic injuries and litigated files, requiring technical and jurisdictional expertise. Demonstrates advanced analytical, negotiation, and problem-solving skills specific to workers’ compensation claim resolution. Maintains expert-level knowledge of workers’ compensation insurance policies, statutory benefits, and claims handling procedures across multiple jurisdictions. Stays current with evolving workers’ compensation laws, regulations, and case law to ensure compliance and mitigate risk. Effectively manages a high-volume caseload, prioritizing tasks to meet statutory deadlines and internal performance metrics while ensuring timely and fair claim outcomes. Builds strong relationships with injured workers, employers, medical providers, and attorneys to facilitate claim resolution and promote recovery. May be involved in settlement negotiations and mediations with a focus on cost containment and optimal outcomes for all parties. Handles sensitive and confidential information with the utmost discretion and professionalism. Serves as a senior technical resource and mentor within the Claims department, providing guidance and support to adjusters and team members. Willingness to travel up to 50%-70% of the time for field investigations, mediations, and employer site visits. Bilingual proficiency is preferred to support diverse claimant populations and enhance communication. The person hired for this position must reside in the territory of Orange and Osceola counties. Must reside in the Orange/Osceola area.

Job Requirements Education:

Bachelor’s Degree or equivalent experience.

Experience:

Candidates should possess between 6 to 10 years of experience, particularly in Fraud Detection and specializing in Workers Compensation insurance. Preference will be given to those who are actively pursuing or have completed a professional designation, such as CPCU , or a board-certified Workers Compensation adjustor having a valid 620 license. It’s one thing to know workers’ comp. It’s another to know people. But knowing both? That creates an altogether different experience. So, if you’re ready for an altogether different workplace experience, get to know the people who know workers’ comp. Apply today.

Job Type:

Full-time Pay:

$60,000.00 – $85,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance On-site gym Paid time off Referral program Relocation assistance Tuition reimbursement Vision insurance Work from home

Schedule:

Day shift Monday to

Friday Education:

Bachelor’s (Required) Ability to

Relocate:

Orange County, FL:

Relocate with an employer provided relocation package (Required)

Work Location:

In person