Workers' Compensation Claims Manager jobs in Miami, FL

Ascendant Claims Services’ LLC (an affiliate of Ascendant Commercial Insurance, Inc.) is a third-party claims administrator committed to providing best in class claims adjudication solutions. Excellence and professionalism in serving the needs of our agents and insureds is Ascendant’s core operating philosophy. We are a fast-growing, diverse company, offering a complete suite of benefits and competitive compensation packages.

Ascendant is looking for the next generation of industry professionals! If you’re looking for a company that offers stability, upward mobility, flexible schedule, great benefits, and competitive compensation, with a strong emphasis on values, integrity, employee relations, and customer service, then apply today to find out how you can become a dynamic part of the Ascendant's Claim team!

The Litigation Workers' Compensation Claims Adjuster will effectively manage an inventory of litigated claims, pursuant to State of Florida statutory regulations as well as Claims Best Practices standards. The Litigation Workers' Compensation Claims Adjuster is responsible for investigating, evaluating, and monitoring the claims and will work with a defense counsel on claims in litigation to reach favorable outcomes. The Litigation Workers' Compensation Claims Adjuster must have a strong background in the litigation process and familiarity with Florida Statute.

Primary responsibilities include but are not limited to;

• Handling Workers' Compensation claim files.
• Determining whether the worker was injured on the job and whether the claim is compensable.
• Coordinating care for the injured worker by approving and authorizing treatment, surgery, medications and appointments.
• Authorizing bill payments on the claim file, which include wages to the injured worker for time he/she is unable to work, issuing any necessary payments to doctors, pharmacies and any other payments that may occur within the scope of the claim.
• Sending out the legal notices that are required by the State of Florida to inform the injured worker of their rights and any benefits that he/she may or may not be entitled to.
• Working with each employer and each injured employee to get the injured worker well and back to work, even if it's in a light duty or modified position.

Ideal candidate should possess the following;

• Minimum 5 years of experience handling litigated workers compensation claims in the state of Florida.

• Must have an active Florida All Lines Claims Adjuster license.

• Must be capable of working independently with minimal supervision.

• Initiative and ability to think logically, analytically, and critically.

• Proficient with computers, web-based applications, and Microsoft Office.

• Possess technical problem-solving skills.

• Strong time management and organization skills.

• Strong and experienced negotiation skills

• Strong verbal and written communication skills.

• Must be able to work within a team environment.

• Must be able to work effectively and collaboratively with other adjusters as needed to mitigate exposures to the organization.

Job Type: Full-time

Pay: $70,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift

Experience:

• Workers' Compensation Claims: 5 years (Required)

License/Certification:

• All Lines Florida Claims Adjuster License (Required)

Work Location: Hybrid remote in Coral Gables, FL 33134