Workers Compensation Claims Manager

Davies International Ltd.San Diego, CA
6d$105,000 - $118,000

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. We are seeking a seasoned Worker's Compensation Claims Supervisor with 5-7 years of industry experience, including 2-3 years in a supervisory or equivalent leadership role. This position will oversee a team of adjusters handling medical-only, indemnity, and litigated claims, with a focus on compliance with multi-jurisdictional WC regulations.

Requirements

  • 5-7 years of Workers' Compensation claims experience.
  • 2-3 years in a supervisory of team lead role.
  • Strong workplace knowledge of multi-jurisdictional WC statutes and procedures.
  • Experience with litigated claims, subrogation, and excess reporting.
  • Proficient in reserve management and EDI filings.
  • Strong leadership, communication, and organizational skills.
  • Familiarity with claims systems such as Guidewire, RiskMaster, or similar.

Nice To Haves

  • Active adjuster license(s) preferred.

Responsibilities

  • Supervise and mentor a team of WC adjusters, ensuring timely and accurate claim handling.
  • Oversee claims involving medical treatment, indemnity benefits, and litigation, requiring strong multi-jurisdictional expertise.
  • Review and approve reserves, settlements, and claim strategies within financial authority.
  • Ensure compliance with state-specific WC laws, including EDI reporting and excess carrier notification.
  • Collaborate with legal counsel, medical providers, and return-to-work coordinators.
  • Handle escalated claims and support resolution of complex files.
  • Monitor team performance, conduct audits, and implement process improvements.
  • Support onboarding and training of new staff.

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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