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Workers' Compensation Claims Manager
Job Location:
Job Location:
San Diego, CA - USA
Yearly Salary:
USD 100000 - 120000
Yearly Salary:
Posted:
21 August 2026 (10 hours ago)
Posted:
Application Deadline:
18 November 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
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.
Davies North America is seeking an experienced Workers Compensation Claims Manager to lead a team of workers compensation adjusters handling medical-only indemnity and litigated claims. This position is responsible for providing leadership technical guidance quality oversight and coaching while ensuring compliance with client expectations company standards and applicable workers compensation regulations.
The ideal candidate will bring strong technical workers compensation expertise multi-jurisdictional claims knowledge and prior leadership experience. This individual will play a key role in developing adjusters monitoring claim quality managing escalated files and fostering a high-performing team environment.
The role requires excellent communication leadership organizational and decision-making skills along with the ability to balance operational priorities client service expectations and claim outcomes.
Key Responsibilities
- Supervise coach and mentor a team of Workers Compensation Adjusters handling medical-only indemnity and litigated claims.
- Conduct regular file reviews audits and performance evaluations to ensure compliance with company standards and client requirements.
- Review and approve reserves settlement recommendations claim strategies and authority requests within established guidelines.
- Provide technical guidance on compensability reserving litigation management return-to-work coordination subrogation and excess reporting.
- Monitor adjuster productivity diary management claim quality customer service metrics and file handling practices.
- Support onboarding training and professional development of new and existing team members.
- Ensure compliance with state-specific workers compensation laws and client-specific handling instructions.
- Manage escalated and complex claims as needed.
- Collaborate with defense counsel Nurse Case Managers medical providers vocational professionals and client stakeholders.
- Participate in client meetings stewardship reviews and claim strategy discussions.
- Identify trends process improvement opportunities and training needs across the team.
- Promote a positive collaborative and performance-driven work environment.
Skills knowledge & expertise
- 5-7 years of Workers Compensation claims handling experience.
- 2-3 years of supervisory team lead or claims leadership experience.
- Strong understanding of multi-jurisdictional Workers Compensation statutes and claim handling procedures.
- Experience managing or overseeing medical-only indemnity and litigated claims.
- Knowledge of subrogation excess reporting reserving practices and EDI reporting requirements.
- Experience conducting file audits performance reviews and coaching adjusters.
- Strong analytical organizational and decision-making abilities.
- Excellent written and verbal communication skills.
- Active adjuster license preferred.
- Experience with claims platforms such as Guidewire RiskMaster or similar systems preferred.
- Proficiency with Microsoft Office Suite including Outlook Excel and Word.
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.
Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.
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.
Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.
- Maintain regular and dependable attendance.
- Be available and able to perform job responsibilities during established work hours.
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.
AI Policy
At Davies we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews we expect interview responses and assessments to reflect each individuals own experience knowledge and professional judgment.
We do not use sites like Facebook Craigslist or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal please email us at
Required Experience:
Manager
