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Workers Comp Adjuster Jobs (NOW HIRING)

Packard Claims Administration

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Lost Time Claims Adjuster -Workers Comp

Odessa, FL · On-site

$50K - $75K/yr

... Workers' Comp Lost Time Claims Examiner with 2+ years litigation experience. Responsibilities: * Must have and maintain Florida Adjuster license (620 All Lines License) * Determine coverage ...

Packard Claims Administration

Be Seen First

Lost Time Claims Adjuster -Workers Comp

Odessa, FL · On-site

$50K - $75K/yr

... Workers' Comp Lost Time Claims Examiner with 2+ years litigation experience. Responsibilities: * Must have and maintain Florida Adjuster license (620 All Lines License) * Determine coverage ...

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How much do workers comp adjuster jobs pay per year?

As of Jun 14, 2026, the average yearly pay for workers comp adjuster in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

What does a workman comp adjuster do?

A workers' compensation adjuster evaluates insurance claims related to work-related injuries or illnesses. They investigate claims, determine coverage and liability, and authorize benefits or settlements, often using claims management software and adhering to state regulations.

Is being a work comp adjuster hard?

Being a workers' compensation adjuster can be challenging due to the need for strong analytical skills, attention to detail, and the ability to handle sensitive cases. The job often involves managing complex claims, working under deadlines, and communicating effectively with injured workers and healthcare providers. Certification and experience can help improve proficiency and job performance.

Which claims adjusters make the most money?

In the claims adjusting field, specialized roles such as catastrophe or senior claims adjusters tend to earn higher salaries due to their experience and complex case handling. Adjusters working for large insurers or in high-cost regions also typically earn more, especially if they hold advanced certifications like the Chartered Claims Adjuster (CCA) or Certified Claims Adjuster (CCA).

What are the key skills and qualifications needed to thrive as a Workers Comp Adjuster, and why are they important?

To thrive as a Workers Comp Adjuster, you need strong knowledge of insurance policies, claims management, and relevant state laws, often supported by a bachelor's degree or relevant experience. Proficiency with claims management software, documentation systems, and sometimes industry certifications such as AIC (Associate in Claims) is typical. Excellent negotiation, analytical thinking, and communication skills help in dealing with claimants, employers, and medical professionals. These competencies ensure accurate, timely claims resolution and help balance fair outcomes with company interests.

What are some common challenges Workers Comp Adjusters face in managing their caseloads?

Workers Comp Adjusters often juggle a high volume of cases, each with unique complexities and deadlines. One common challenge is balancing timely investigations with thorough documentation, especially when coordinating with medical providers, employers, and injured workers. Adjusters must also stay current with changing state regulations and ensure all claims are handled in compliance with legal requirements. Effective time management and strong communication skills are essential to overcoming these challenges and maintaining a fair, efficient claims process.

What is a Workers Comp Adjuster?

A Workers Comp Adjuster is a professional who investigates and manages workers' compensation insurance claims. Their job involves evaluating claims made by employees who are injured or become ill at work, determining the validity of the claim, and ensuring that appropriate benefits are provided according to state laws and company policies. They may interview the claimant, employer, and medical providers, review medical records, and negotiate settlements. Workers Comp Adjusters play a crucial role in balancing the needs of injured workers with the interests of insurance companies or self-insured employers.

Is being a claim adjuster worth it?

A workers' compensation claim adjuster evaluates and processes injury claims, often requiring strong communication, attention to detail, and knowledge of insurance policies. The role offers steady employment, potential for advancement, and typically involves office and field work, with certifications like the Adjuster License being beneficial. Compensation varies by experience and location, but the job can be financially rewarding for those with relevant skills.

What is the difference between Workers Comp Adjuster vs Claims Examiner?

AspectWorkers Comp AdjusterClaims Examiner
CredentialsInsurance license, adjuster certificationAdjuster license, sometimes claims certification
Work EnvironmentInsurance companies, third-party administratorsInsurance companies, government agencies
Industry UsagePrimarily in workers' compensation and liability claimsBroader claims processing across various insurance types

Workers Comp Adjusters focus specifically on workers' compensation claims, evaluating injuries and determining benefits. Claims Examiners handle a wider range of insurance claims, including health, auto, and property. While both roles require similar certifications and work in insurance settings, Workers Comp Adjusters specialize in workplace injury cases, making their expertise more targeted in the workers' compensation industry.

More about Workers Comp Adjuster jobs
What cities are hiring for Workers Comp Adjuster jobs? Cities with the most Workers Comp Adjuster job openings:
What states have the most Workers Comp Adjuster jobs? States with the most job openings for Workers Comp Adjuster jobs include:
What job categories do people searching Workers Comp Adjuster jobs look for? The top searched job categories for Workers Comp Adjuster jobs are:
Workers Comp Adjuster jobs near you
Infographic showing various Workers Comp Adjuster job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 74% Full Time, 18% Part Time, and 7% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.
PA Workers Compensation Adjuster (Remote)

PA Workers Compensation Adjuster (Remote)

UPMC Health Plan

Pittsburgh, PA • Remote

$22.50 - $31/hr

Other

Posted 27 days ago

Job description

UPMC WorkPartners is hiring a full-time Workers Comp Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The ideal candidate for this position holds a Pennsylvania Workers Comp Adjuster license.

The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor. The Lost Time Claims Specialist II is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business unit. The Lost Time Claims Specialist II will apply litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The Lost Time Claims Specialist II will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority within established best practices and performance standards. The Lost Time Claims Specialist II should possess strategic thought process skills to effectively and efficiently manage loss exposures.
Responsibilities:

  • Assign medical or other experts to case and arrange for medical examinations when necessary.
  • Develop lost time claim disposition skills under limited direction of supervisor.
  • Pro-actively manages the case resolution process. May participate in mediations within limit of settlement authority.
  • Ensure proper referrals and timely updates to appropriate Reinsurer(s).
  • Actively participate in claim reviews with clients.
  • Timely analyze information in order to evaluate assigned claims to determine the extent of loss.
  • Manage the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor.
  • Communicate claim status with the injured worker, clients, and broker as needed.
  • Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.
  • Establish appropriate reserves and review on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level.
  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, clients, witnesses and others having pertinent information.
  • Provide required reports to AVP, Claims, Underwriting, Reinsurance and Actuarial on significant exposure cases.
  • Appropriate state licensing to be obtained for assigned jurisdictions.
  • Effectively evaluate and resolve coverage issues for all Workers' Compensation claim types.
  • Effectively and efficiently manage vendors and expenses.
  • Participate in monthly account renewal meetings as needed.
  • Mentoring and training new employees as appropriately assigned by management.
  • Bachelors and/or advanced degree or a minimum of 3 years of Workers Compensation claims handling experience.
  • Minimum of 2 years of Workers Compensation lost time claims handling experience.
  • Pennsylvania Workers Comp Insurance Adjusters license highly preferred.
  • Experience with NJ, DE and VA workers compensation are a bonus.
  • Intermediate knowledge of law and insurance regulations in various jurisdictions.
  • Demonstrated strong verbal and written communications skills.
  • Demonstrated strong analytical and decision-making skills.
  • Intermediate knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, litigation management, and product line knowledge.
  • Previous experience with the reserving and adjudication of the following: Workers' compensation lost time claims, Workers' compensation claim investigations (including subrogation) and compensability decisions.
    Licensure, Certifications, and Clearances:
  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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