Sr. Workers Compensation Adjuster - Onsite
About The Position
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. Davies Claims North America is seeking an experienced Senior Workers Comp Claim Adjuster to investigate, evaluate, and resolve workers’ compensation claims. This role requires a proactive professional who can manage complex claims, including catastrophic losses and litigation, while delivering exceptional service to clients. The ideal candidate will have 5–7 years of relevant experience and a strong understanding of claims investigation, legal and medical terminology, and multi-state workers’ compensation regulations. This position is located onsite in Atlanta, GA.
Requirements
- Strong understanding of oral and written policies, procedures, and instructions.
- Ability to perform multiple duties with accuracy, speed, and adherence to deadlines.
- Skilled in multi-party claim investigations.
- Proficient in standard or customized claims software applications.
- Ability to prepare and present factual, accurate reports with clear recommendations.
- Thorough knowledge of claims investigation principles and practices.
- Extensive medical and legal terminology knowledge and litigation management experience.
- Ability to handle confidential information with discretion.
- Strong verbal and written communication skills.
- Quick learner with the ability to adapt to new information and technology.
- Knowledge of multi-state workers’ compensation laws and regulations.
Responsibilities
- Work onsite to determine coverage and compensability for each filed claim.
- Conduct thorough investigations, including interviewing employees, employers, and witnesses.
- Obtain and review necessary records, including hospital, physician, and police reports.
- Ensure accurate EDI and CMS/Section 111 reporting.
- Utilize and coordinate with preferred vendors as appropriate.
- Prepare and present comprehensive reports to clients and excess carriers regarding claims status and recommendations.
- Negotiate settlements with claimants and their attorneys to achieve appropriate resolutions.
- Maintain control of litigation activities and costs in accordance with account requirements.
- Mentor, train, and share expertise with other Davies staff as needed.
- Attend meetings, conferences, workshops, and training sessions to stay current on best practices and industry developments.
- Maintain required professional licensing.
- Respond to client inquiries courteously and in a timely manner.
- Manage catastrophic losses, complex litigation, and sensitive claims.
- Perform all other duties as assigned.
Benefits
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
251-500 employees
