Workers Compensation Lost Time Adjuster

The North Carolina League of Municipalities is Seeking a Workers’ Compensation Lost Time Adjuster.

This position is part of the Workers’ Compensation Claims team. Under the supervision of the Workers’ Compensation Claims Manager, this role is responsible for managing workers’ compensation claims where lost wages may be due and determining compensability. This is accomplished by investigating claims, gathering and reviewing evidence, making compensability decisions, calculating benefits, coordinating vendors and services, attending mediations and hearings, monitoring reserves, and ensuring compliance with all applicable requirements.

Additional Duties Include:

Conducts Claim Investigations and Determines Compensability

Conducts investigations through recorded statements, interviews, and review of medical documentation; evaluates claim facts; determines compensability; and accepts or denies claims in accordance with workers’ compensation laws and regulations.

Manages Lost Time Claims

Calculates and issues appropriate compensation benefits; facilitates medical treatment and doctors’ orders; monitors claim progress; maintains regular communication with employers and injured employees; and oversees claims through resolution and closure.

Coordinates Vendors, Hearings, and Claim Resolution

Assigns and manages outside vendors as needed; attends mediations and hearings; requests settlement authority when appropriate; negotiates settlements; and concludes claims through payment of permanent partial disability benefits or other approved resolutions.

Maintains Claim Documentation and Regulatory Compliance

Maintains accurate claim files, computer notes, diaries, and reserves; reviews incoming correspondence and medical bills; files required forms and reports; monitors claim activity; and ensures compliance with all reporting requirements.

Supports Professional Development and Licensing Requirements

Obtains and maintains required adjuster licenses; remains current on workers’ compensation laws, regulations, and industry best practices; and participates in ongoing professional development opportunities.

Minimum Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Four or more years of experience handling Workers’ Compensation claims, including Medical Only and/or Lost Time claims.
• Strong investigative, analytical, negotiation, and claims management skills.
• Ability to manage multiple claims while maintaining accuracy and attention to detail.

Why Work at the League?

The North Carolina League of Municipalities has been One Voice for cities and towns across North Carolina for more than 100 years with a motto of "Working as One. Advancing All." Through our collective efforts, cities and towns are better equipped to serve their residents and improve their quality of life. If you have a heart for service and are looking to make a positive impact on North Carolina communities, we want to hear from you.

Salary & Benefits

The anticipated hiring range for this position is $60,000-$70,000. This is a hybrid position, with time each week required in the League's Raleigh office.

Benefits include generous paid time off, participation in the N.C. Local Government Retirement System, a 401(k) Plan with a 4% employer match, employer-paid medical, dental, vision, and life insurance, employer-paid parking when reporting to the office, access to an onsite fitness center, and much more.

Pay: $60,000.00 - $70,000.00 per year

Benefits:

• 401(k) matching
• Company car
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance
• Work from home

Application Question(s):

• What is your desired salary?

Experience:

• WC Lost Time Adjuster: 1 year (Required)

License/Certification:

• NC Adjusters License (Required)

Location:

• Raleigh, NC 27601 (Preferred)

Ability to Relocate:

• Raleigh, NC 27601: Relocate before starting work (Preferred)

Work Location: Hybrid remote in Raleigh, NC 27601