Workers' Compensation Lost Time Adjuster CA
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Job Location:
Yearly Salary:
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Our Story
Imagine being part of a team thats not just shaping the future but actively driving it. At Davies North America were 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.
Were on the lookout for a Workers Compensation Lost Time Adjuster to join our growing this role youll manage a full caseload of workers compensation indemnity and lost time claims from inception through resolution. Youll play a key role in delivering high-quality claims outcomes while maintaining strong communication with injured workers employers producers attorneys and medical providers.
This is a full-time remote position with occasional travel required for client claim review meetings.
Key Responsibilities
- Manage workers compensation lost time and indemnity claims from initial intake through closure
- Conduct and direct investigations to determine AOE/COE including timely 24-hour three-point contact with injured workers employers and medical providers
- Establish initial reserves promptly and maintain accurate reserves based on probable claim outcomes
- Authorize appropriate medical care and ensure timely issuance of indemnity benefits
- Manage all legal aspects of claims including litigation and settlement negotiations
- Maintain a diary system to ensure timely benefit administration and proactive claim handling
- Determine settlement value and drive claims toward appropriate and timely resolution
- Deliver exceptional customer service to clients producers employers and injured workers through clear and professional written and verbal communication
- Accurately document claim activity and present claim facts to clients vendors and management
- Perform additional duties as assigned
Skills knowledge & expertise
- Bachelors degree from a four-year college or university; or one to two years of related experience and/or training; or an equivalent combination of education and experience
- California Workers Compensation experience is required
- Multiple years of experience handling Workers Compensation claims including indemnity and litigated claims
- WCCA or WCCP designation
- California Self-Insured Certification
- Proficiency with Microsoft Office Suite and claims management systems
- Excellent written and verbal communication skills with a strong customer service focus
- Strong investigative analytical and claim evaluation skills
- Ability to independently manage a caseload in a fast-paced deadline-driven environment
- Proven organizational problem-solving and decision-making abilities
- Self-starter who can work with minimal direction while meeting or exceeding performance goals
- Ability to adapt and maintain a positive collaborative work atmosphere amid changing priorities
Equal Employment Opportunity & Legal Notices
Benefits
At Davies North America we are dedicated to supporting the wellbeing and future of our qualifying employees. Our comprehensive benefits package includes:
- Medical dental and vision plans to support your health and that of your family
- A 401(k) plan with employer matching
- Timeoff policies including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for nonexempt employees
- Paid holidays
- Life insurance and shortterm and longterm disability coverage
Benefit offerings eligibility and required employer contributions may vary based on role classification and applicable federal state and local laws including those tied to an employees primary work location.
Where required by law the Company provides paid sick leave paid family and parental leave and other mandated benefits in accordance with applicable state and local requirements.
Diversity and Inclusion
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.
Background Check & Fair Chance Compliance
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.
Background Check & Fair Chance Compliance
Any background check or review of criminal history if applicable to the role will be conducted only after a conditional offer of employment and in compliance with applicable federal state and local laws including fairchance hiring requirements.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
