We are seeking a Michigan Workers" Comp Indemnity Adjuster. This is a direct hire position.
RESPONSIBILITIES:
We are seeking an experienced Indemnity Adjuster to manage a complex workers' compensation desk with a strong emphasis on Michigan lost-time and litigated claims. This role handles primarily indemnity and complex files, with limited medical-only exposure, and requires collaboration with internal leadership and external stakeholders to ensure high-quality, compliant claim outcomes.
Demonstrate strong working knowledge of Michigan Workers' Compensation regulations and practices
Investigate claims, determine compensability, establish reserves, and manage ongoing exposure
Coordinate medical care, wage loss benefits, and return-to-work efforts
Communicate effectively with all stakeholders, including attorneys, injured workers, employers, carriers, and medical providers
Utilize claims management systems to document activity, manage workflows, and meet service expectations
Adhere to quality standards, production benchmarks, and client service level agreements (SLAs)
Participate in internal reviews, audits, and performance evaluations
Performance Measures
Compliance with quality and accuracy standards
Meeting production expectations for claim handling and resolution
Adherence to client service level agreements (SLAs)
Stakeholders
External: Defense attorneys, injured workers, employers, clients, carriers, medical providers
Internal: Supervisor, Manager, Account Manager
QUALIFICATIONS:
Experience & Knowledge
2-3 years of workers' compensation claims experience, with a strong focus on indemnity and lost-time claims