Workers' Compensation Lost Time Adjuster - CA

Davies • Home, AL

3d • Remote

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’re on the lookout for a Workers’ Compensation Lost Time Adjuster to join our growing team. In this role, you’ll manage a full caseload of workers’ compensation indemnity and lost time claims from inception through resolution. You’ll 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.

Requirements

• Bachelor’s 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

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees