Claims Adjuster, Workers’ Compensation – Remote

If you know how to run a workers’ comp file clean from set-up to closure, this is a solid remote seat with real ownership. You’ll investigate fast, manage exposure, stay compliant across jurisdictions, and deliver the kind of claim experience that keeps small business customers trusting the process.

About Pie Insurance
Pie’s mission is to help small businesses thrive by making commercial insurance more affordable and easier to manage. They use technology to modernize how small businesses buy and experience commercial insurance, with a customer-first approach baked into how they operate.

Schedule
Remote (United States only; territories excluded)
Full-time role requiring reliable high-speed internet
Cross-functional collaboration with internal teams, partner agents, and external claims partners

What You’ll Do

  • Independently manage workers’ compensation claims from set-up through closure
  • Complete timely 3-point contact investigations and continue investigating as facts evolve
  • Make accurate compensability decisions within statutory deadlines
  • Set and adjust reserves within authority limits, aligned to case facts and best practices
  • Administer statutory medical and indemnity benefits throughout the life of the claim
  • Stay compliant with jurisdictional guidelines, rules, and regulations (including CMS/MSA requirements)
  • Manage litigation activity with defense counsel, controlling legal strategy and costs
  • Identify early resolution opportunities, evaluate exposure, and negotiate settlements
  • Serve as a point of contact for partner agents and customers, setting expectations and providing claim guidance
  • Work with TPAs and claims partners to optimize outcomes and continuously improve processes and service

What You Need

  • High school diploma or equivalent (bachelor’s or college coursework preferred)
  • 2+ years of workers’ compensation claims experience
  • Preferred: claims experience in MD, NJ, PA, and VA
  • Strong written and verbal communication skills for explaining complex claim decisions
  • Strong problem-solving skills with the ability to work independently with minimal direction
  • Knowledge of claim adjudication, medical management, and litigation management
  • Familiarity with regulatory/statutory requirements and CMS/MSA guidelines
  • Comfort using Google Workspace and collaboration tools (Slack preferred)
  • Ability to manage conflict, negotiate effectively, and make exposure-mitigating decisions

Benefits

  • Base salary range: $70,000–$90,000 (USD)
  • Competitive cash compensation plus equity (“a piece of the pie”)
  • Comprehensive health plans
  • Generous PTO
  • Future-focused 401(k) match
  • Generous parental and caregiver leave
  • Discretionary bonuses may be available based on company performance

Claims roles get filled fast when someone checks the boxes and can handle files end-to-end. If you’re ready to own your desk and deliver outcomes, move on it.

Happy Hunting,
~Two Chicks…

APPLY HERE