Workers Compensation Specialist Jobs
Workers Compensation Specialist jobs are open across insurance carriers, self-insured employers, third-party administrators, and healthcare organizations, from entry-level coordinator roles to senior claims specialist and program manager positions, with specializations in case management, regulatory compliance, and claims adjudication. Find a role that fits from the openings below and apply directly.
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Showing 5 of 469+ Workers Compensation Specialist jobs
At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.
**This position is eligible to work from home anywhere in the United States**
Essential Functions
- Reviews claim notices, policies, contracts, and applicable state requirements to determine coverage, jurisdiction, deductibles, and compensability.
- Conducts timely claim investigations, including contacting insureds, injured workers, witnesses, and other relevant parties; obtaining statements; and securing necessary reports and documentation.
- Documents claim activity, maintains accurate file diaries, establishes appropriate reserves, and ensures timely claim handling through resolution.
- Reviews medical records, treatment plans, bills, invoices, and other documentation to understand injuries, evaluate expenses, and coordinate appropriate medical care.
- Calculates and administers wage benefits while monitoring changes that may affect benefit amounts.
- Coordinates return-to-work efforts with injured workers, insureds, medical providers, and other appropriate parties.
- Identifies and pursues recovery and subrogation opportunities and refers claims to specialized resources, including Special Investigation and medical management or review teams, when appropriate.
- Investigates and resolves compensability and coverage issues and communicates decisions and claim status to relevant parties.
- Prepares settlement evaluations, negotiation strategies, independent medical examination (IME) documentation, and denial correspondence as appropriate.
- Partners with attorneys and participates in mediations, settlement conferences, and other activities to facilitate claim resolution.
- Promotes appropriate claims programs and resources, including On Call Nurse (OCN), Return to Work (RTW), and Select Preferred Provider (SPP) programs. Collaborates with Claims, Underwriting, Risk Improvement, and other internal teams, including preparing risk alerts and supporting broader claims initiatives as needed.
Education & Experience:
- Bachelor’s degree or equivalent relevant experience
- One year of workers’ compensation claims adjusting experience or related experience
- Experience with Oklahoma, Kansas, Arkansas, and Kentucky preferred.
- Attainment of all applicable state licenses within one year of hire Relevant insurance designations preferred
Knowledge, Skills & Abilities:
- Working knowledge of the theory and practice of the claim function
- Good knowledge of insurance contracts, medical terminology and substantive and procedural laws
- Ability to adhere to high standards of professional conduct and code of ethics
- Strong knowledge of computers and claims systems
- Strong organizational and written and verbal communication skills
- Good investigative and problem-solving abilities Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving
The hiring salary range for this position will vary based on geographic location, falling within either the $54,566-$75,194 range or the $60,168-$82,916 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.
The hiring salary range for this position will vary based on geographic location, falling within either of the following:
$55,795 - $77,098 or $61,659 - $84,778A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.
For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com/careers .
Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.
At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.
**This position is eligible to work from home anywhere in the United States**
Essential Functions
- Reviews claim notices, policies, contracts, and applicable state requirements to determine coverage, jurisdiction, deductibles, and compensability.
- Conducts timely claim investigations, including contacting insureds, injured workers, witnesses, and other relevant parties; obtaining statements; and securing necessary reports and documentation.
- Documents claim activity, maintains accurate file diaries, establishes appropriate reserves, and ensures timely claim handling through resolution.
- Reviews medical records, treatment plans, bills, invoices, and other documentation to understand injuries, evaluate expenses, and coordinate appropriate medical care.
- Calculates and administers wage benefits while monitoring changes that may affect benefit amounts.
- Coordinates return-to-work efforts with injured workers, insureds, medical providers, and other appropriate parties.
- Identifies and pursues recovery and subrogation opportunities and refers claims to specialized resources, including Special Investigation and medical management or review teams, when appropriate.
- Investigates and resolves compensability and coverage issues and communicates decisions and claim status to relevant parties.
- Prepares settlement evaluations, negotiation strategies, independent medical examination (IME) documentation, and denial correspondence as appropriate.
- Partners with attorneys and participates in mediations, settlement conferences, and other activities to facilitate claim resolution.
- Promotes appropriate claims programs and resources, including On Call Nurse (OCN), Return to Work (RTW), and Select Preferred Provider (SPP) programs. Collaborates with Claims, Underwriting, Risk Improvement, and other internal teams, including preparing risk alerts and supporting broader claims initiatives as needed.
Education & Experience:
- Bachelor’s degree or equivalent relevant experience
- One year of workers’ compensation claims adjusting experience or related experience
- Experience with Oklahoma, Kansas, Arkansas, and Kentucky preferred.
- Attainment of all applicable state licenses within one year of hire Relevant insurance designations preferred
Knowledge, Skills & Abilities:
- Working knowledge of the theory and practice of the claim function
- Good knowledge of insurance contracts, medical terminology and substantive and procedural laws
- Ability to adhere to high standards of professional conduct and code of ethics
- Strong knowledge of computers and claims systems
- Strong organizational and written and verbal communication skills
- Good investigative and problem-solving abilities Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving
The hiring salary range for this position will vary based on geographic location, falling within either the $54,566-$75,194 range or the $60,168-$82,916 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.
The hiring salary range for this position will vary based on geographic location, falling within either of the following:
$55,795 - $77,098 or $61,659 - $84,778A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.
For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com/careers .
Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.
Workers Compensation Specialist Jobs by Experience Level
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Find JobsWorkers Compensation Specialist Job Market
Who's Hiring
- Sedgwick41
- ForzaCare30
- Law Offices of Bob Nehoray21
- Gallagher15
- Morgan & Morgan14
Top Industries Hiring
- Government & Public Sector10
- Insurance7
- Staffing & Recruiting5
- Technology & Software3
- Healthcare & Medical Services3
What Employers Look For
The qualifications that appear most often in workers compensation specialist jobs.
- 2-5 years of workers compensation claims adjusting or case management experience
- Working knowledge of state-specific workers compensation statutes and regulations
- Experience with claims management software such as Guidewire, Origami Risk, or similar platforms
- Active state adjuster license or willingness to obtain licensure within a defined period
- Ability to manage a high-volume caseload and meet statutory response deadlines
- Associate or bachelor's degree in business, risk management, healthcare, or a related field
Tips for Your Workers Compensation Specialist Job Search
Tailor your resume for claims software
Hiring managers scan for specific platforms like Guidewire, Origami Risk, or Juris. Name every claims management system you've used and note the context, such as high-volume indemnity claims or multi-state programs, so recruiters know your experience is transferable.
Highlight your state licensing credentials
Workers compensation rules vary sharply by state, so list every jurisdiction where you're licensed or certified to adjust claims. Spell out designations like CWCP or AIC in full on first use, then abbreviate, because applicant tracking systems search for both forms.
Target openings by employer type strategically
Third-party administrators, self-insured municipalities, and national carriers each run claims differently. Match your resume's language to the employer type you're targeting: TPA postings favor throughput and caseload metrics, while self-insured employers emphasize cost containment and return-to-work outcomes.
Apply early to roles that fit
Migrate Mate lists workers compensation specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for a scenario-based interview round
Interviewers routinely present a disputed claim or a missed compensability deadline and ask how you'd respond. Before your interview, prepare two or three real examples where you identified fraud indicators, managed a complex permanent disability case, or negotiated a settlement under time pressure.
Negotiate using total-compensation framing
When an offer comes in, ask about continuing education reimbursement for designation renewals and case management certification costs, not just base pay. These benefits directly offset out-of-pocket expenses tied to maintaining your credentials, and employers expect candidates in this field to ask.
Workers Compensation Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most workers compensation specialists?
The companies hiring the most workers compensation specialists right now include Sedgwick, ForzaCare, and Law Offices of Bob Nehoray, with the largest share of openings in California, Florida, and Illinois, based on current listings on Migrate Mate as of November 2026. Large national carriers, third-party administrators, and self-insured public-sector employers tend to post the highest volume of openings consistently.
How many workers compensation specialist jobs are remote?
About 77% of workers compensation specialist openings are fully remote or hybrid as of November 2026, with the strongest remote availability in claims adjudication, case management coordination, and compliance review roles. Positions that require in-person claimant interviews, field investigations, or onsite employer audits are far less likely to be listed as remote.
How do you become a workers compensation specialist?
Start by completing a degree in business, risk management, healthcare administration, or a related field, then apply for entry-level claims coordinator or adjuster trainee roles at an insurance carrier or TPA. Obtain the required state adjuster license for the jurisdictions you'll cover, and pursue professional designations like the Certified Workers Compensation Professional or Associate in Claims to advance into specialist-level positions.
Can you get hired as a workers compensation specialist without much experience?
Yes, candidates with limited direct experience can get hired into entry-level claims coordinator or adjuster trainee roles by emphasizing transferable skills from healthcare billing, paralegal work, or customer service in insurance. Demonstrating familiarity with state workers compensation statutes, completing a relevant certification course, and targeting employers known for structured training programs all improve your chances of breaking into the field.
What does the workers compensation specialist interview process look like?
Most employers conduct a phone screen focused on your claims or case management background, followed by one or two rounds of behavioral and scenario-based interviews where you walk through how you've handled compensability disputes, return-to-work coordination, or regulatory deadlines. Some carriers and TPAs add a written exercise or a panel interview with claims supervisors and HR before extending an offer.
Where can I find and apply to workers compensation specialist jobs?
You can find and apply to workers compensation specialist jobs on Migrate Mate, which lists current openings from employers across the United States. Search the listings to find roles that match your experience and the states or work settings you're targeting, then apply directly to each listing that fits.
See All 469+ Workers Compensation Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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