Remote Workers Compensation Claims Adjuster Jobs
Remote Workers Compensation Claims Adjuster jobs are open across the U.S. at insurance carriers, third-party administrators, and self-insured employers running distributed claims teams. Sectors actively hiring remotely include insurance, healthcare, and risk management, with demand staying consistent as more adjusters prove the role works entirely off-site. Employers hiring remotely right now include Gallagher, Sedgwick, and EMC Insurance. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 41+ Remote Workers Compensation Claims Adjuster jobs
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.
Responsibilities:
- Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature
- Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable)
- Alert Supervisor and Special Investigations Unit to potentially suspect claims
- Ensure timely denial or payment of benefits in accordance with jurisdictional requirements
- Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure
- Negotiate claims settlements with client approval
- Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition
- Work collaboratively with Lodestar nurse professionals to develop and execute return to work strategies
- Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome
- Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced
- Demonstrate technical proficiency through timely, consistent execution of best claim practices
- Communicate effectively, verbally and in writing with internal and external parties on a wide variety of claims and account issues
- Provide a high degree of customer service to clients, including face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions
- Authorize treatment based on the practiced protocols established by statute or the Lodestar Managed Care department
- Assist Lodestar clients by suggesting panel provider information in accordance with applicable state statutes.
- Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
#LI-Remote
Requirements:- MA License and experience handling claims in MA and NJ Required.
- Bachelor's degree, or four or more years of equivalent work experience required in an insurance related industry required
- At least 3-5 years' experience handling lost time workers compensation claims required; past experience with MA and NJ jurisdictions required
- Associate in Claims (AIC) Designation or similar professional designation desired.
- Active license required or ability to obtain license within 90 days of employment in mandated states.
- Familiarity with medical terminology and/or Workers' Compensation
- Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously
- Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details
- Strong verbal, written communication skills and customer service skills
- Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
- Ability to travel for business purposes, approximately less than 10%.
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.
Responsibilities:
- Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature
- Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable)
- Alert Supervisor and Special Investigations Unit to potentially suspect claims
- Ensure timely denial or payment of benefits in accordance with jurisdictional requirements
- Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure
- Negotiate claims settlements with client approval
- Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition
- Work collaboratively with Lodestar nurse professionals to develop and execute return to work strategies
- Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome
- Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced
- Demonstrate technical proficiency through timely, consistent execution of best claim practices
- Communicate effectively, verbally and in writing with internal and external parties on a wide variety of claims and account issues
- Provide a high degree of customer service to clients, including face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions
- Authorize treatment based on the practiced protocols established by statute or the Lodestar Managed Care department
- Assist Lodestar clients by suggesting panel provider information in accordance with applicable state statutes.
- Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
#LI-Remote
Requirements:- MA License and experience handling claims in MA and NJ Required.
- Bachelor's degree, or four or more years of equivalent work experience required in an insurance related industry required
- At least 3-5 years' experience handling lost time workers compensation claims required; past experience with MA and NJ jurisdictions required
- Associate in Claims (AIC) Designation or similar professional designation desired.
- Active license required or ability to obtain license within 90 days of employment in mandated states.
- Familiarity with medical terminology and/or Workers' Compensation
- Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously
- Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details
- Strong verbal, written communication skills and customer service skills
- Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
- Ability to travel for business purposes, approximately less than 10%.
See All 41 Remote Workers Compensation Claims Adjuster Jobs
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Find JobsRemote Workers Compensation Claims Adjuster Job Market
Who's Hiring
- Gallagher25
- Sedgwick4
- EMC Insurance3
- PMA Companies3
- Acrisure1
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in remote workers compensation claims adjuster jobs.
- Active state workers compensation adjuster license for the jurisdictions served
- Experience handling lost-time and litigated workers compensation claims
- Proficiency with claims management systems such as Guidewire or similar platforms
- Strong knowledge of state workers compensation statutes and case law
- Bachelor's degree in business, insurance, or a related field, or equivalent experience
- Professional designation such as AIC, CPCU, or ARM preferred
Tips for Your Remote Workers Compensation Claims Adjuster Job Search
Apply early to remote roles that fit
Migrate Mate lists remote workers compensation claims adjuster openings from across the U.S. in one place. Check it regularly, filter for roles that match your license state and experience level, and apply directly before postings fill.
Highlight your state adjuster license upfront
Remote employers often manage claims across multiple jurisdictions and prioritize candidates who are already licensed in key states. List every active adjuster license you hold prominently on your resume so hiring managers know immediately where you can work.
Demonstrate async communication skills concretely
Remote claims teams rely almost entirely on written updates, email chains, and documented decisions. Show examples of clear written correspondence, reserve justification memos, or denial letters from past roles to prove you communicate accurately without face-to-face interaction.
Show proficiency with claims management platforms
Name the specific systems you've used, such as Guidewire, Juris, or ClaimCenter, in your resume and cover letter. Remote employers assume you'll be self-sufficient in their system from week one, so software fluency signals you won't need extended onboarding support.
Remote Workers Compensation Claims Adjuster Jobs: Frequently Asked Questions
How do I get a remote workers compensation claims adjuster job?
Target insurers, third-party administrators, and self-insured corporations that already run distributed claims teams, since they have established remote workflows and won't need convincing. Remote employers screen hard for self-direction, clear written communication, and comfort managing a caseload without daily in-person oversight. Demonstrating experience with claims management software, adjudication accuracy, and organized documentation makes you stand out over candidates who need hands-on supervision.
Which companies hire remote workers compensation claims adjusters?
Remote workers compensation claims adjuster roles are posted by Gallagher, Sedgwick, and EMC Insurance and others right now, based on current remote listings on Migrate Mate as of November 2026. The hiring tends to concentrate at national insurance carriers, large third-party administrators, and self-insured employers across insurance, healthcare, and risk management sectors that operate distributed claims operations.
Can you get a remote workers compensation claims adjuster job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to manage a caseload independently from day one without an in-office supervisor nearby. Entry paths include remote trainee adjuster programs at large carriers and roles supporting senior adjusters on distributed teams. Showing completed claims coursework, a state adjuster license where applicable, and strong written communication skills helps open those doors.
Do you need a degree for remote workers compensation claims adjuster jobs?
Not always. Many remote employers weigh your state adjuster license, hands-on claims experience, and demonstrated proficiency with claims management platforms over a formal degree. Carriers and third-party administrators hiring remotely often care more about your ability to interpret medical records, apply jurisdiction-specific rules accurately, and communicate decisions clearly in writing than about your educational background.
Which industries hire the most remote workers compensation claims adjusters?
Most remote workers compensation claims adjuster openings sit in Insurance, per current remote listings on Migrate Mate as of November 2026. Those sectors hire remotely because their claims operations are large enough to support fully distributed teams with established digital workflows and caseload management systems.
See All 41 Remote Workers Compensation Claims Adjuster Jobs
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