Adjuster [h1.location_city]

Workers' Compensation Lost Time Adjuster

Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

We're on the lookout for a Workers' Compensation Lost Time Adjuster to join our growing team! As a Lost Time Adjuster, you will manage a caseload of workers' compensation indemnity cases from inception to resolution while maintaining communication with clients, producers and employers via telephone and written correspondence. You will also manage a diary system to ensure timely benefit administration and superior claims management.

Key Responsibilities

Conduct and direct investigation to determine AOE / COE, including 24-hour 3-point contact to EE, ER & MD

Establish initial reserves in a timely manner and maintain accurate reserves based on probable outcome on all claims

Authorize appropriate medical care, issue timely indemnity benefits and manage all legal aspects of all claims

Provide quality customer service to clients, producers, employers and injured workers

Determine settlement value and resolution while moving all cases towards appropriate closure

Other duties as assigned

Skills, Knowledge & Expertise

Bachelor's degree from a four-year college or university; or one to two years related experience and / or training; or equivalent combination of education and experience

California Workers' Compensation experience is required

WCCA or WCCP designation preferred

Self-Insured License preferred

Multiple years' experience handling Workers' Compensation claims, including indemnity and legal claims

Proficiency with Microsoft Office Suite

Excellent communication skills both written and oral with a strong focus towards exceptional customer service

Ability to investigate, summarize and present claim facts to vendors, clients and management

Work independently and maintain a positive work atmosphere in an environment of rapidly changing priorities

Self-starter who can work under minimum direction to meet or exceed goals and objectives

Excellent organizational, problem solving and decision-making skills required

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes :

Medical, dental, and vision plans to ensure your health and that of your family.

A 401k plan with employer matching to help you build a secure financial future.

Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.

Paid holidays.

Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard. Compensation Transparency : The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

About Davies

We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses. We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.