New Mexico Workers' Compensation Adjuster (Remote in NM)
About The Position
Our Story 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. What's in Store We are on the lookout for an experienced Workers' Compensation Adjuster to join our team. You will be responsible for investigating and evaluating losses while developing a plan of action to bring claims to proper resolution in a timely manner. This role does require you to live in New Mexico and have New Mexico adjuster license, with a minimum of 5-7 years of experience handling Workers' Compensation claims.
Requirements
- Live in New Mexico
- New Mexico adjuster license
- Minimum of 5-7 years of experience handling Workers' Compensation claims
- Ability to understand and follow oral and/or written policies, procedures and instructions
- Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
- Ability to conduct investigations in multi-party situations
- Ability to use standard or customized software applications appropriate to assigned tasks
- Ability to prepare and present accurate, reliable and factual reports with recommendations
- Thorough knowledge of current principles and practices associated with claims investigations, adjustment and related practices
- Extensive knowledge of medical and legal terminology with a thorough understanding of Legal principles/litigation management
- Ability to handle confidential information
- Ability to communicate effectively with others both orally and in writing
- Ability and willingness to learn quickly and utilize new skills because of rapidly changing information and/or technology
- Ability to comprehend multi-state laws and regulations to assist other offices, as necessary
Responsibilities
- Determines extent of insurance coverage and compensability on each filed claim
- Investigates claims, including interviewing employees, employers and witnesses
- Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc.
- EDI and CMS/Section 111 reporting
- Utilizes appropriate preferred vendors
- Presents thorough and accurate reports to client and/or carrier on claims investigations/situations
- Negotiates settlements for resolutions with claimants and their attorneys
- Maintains control of litigation activities and costs per account requirements
- May be asked to mentor, train and/or share expertise with other Davies staff
- Attends meetings; conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas
- Maintains and meets specific licensing requirements
- Responds to client questions and comments in a courteous and timely manner
- Is responsible for catastrophic losses, complex litigation, and other sensitive issues
- All other duties as assigned
- Maintain regular and dependable attendance.
- Be available and able to perform job responsibilities during established work hours.
Benefits
- Medical, dental, and vision plans to support your health and that of your family
- A 401(k) plan with employer matching
- Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
- Paid holidays
- Life insurance and short‑term and long‑term disability coverage
- Paid sick leave
- Paid family and parental leave
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
