Workers' Compensation Lost Time Adjuster (CA)

Davies • San Diego, CA

7d • $38 - $42

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! As a Lost Time Adjuster, you will manage a caseload of workers’ compensation indemnity cases from inception to resolution while maintaining communication with clients, producers and employers via telephone and written correspondence. You will also manage a diary system to ensure timely benefit administration and superior claims management.

Requirements

• Bachelor's degree from a four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience
• California Workers’ Compensation experience is required
• Multiple years’ experience handling Workers’ Compensation claims, including indemnity and legal claims
• Proficiency with Microsoft Office Suite
• Excellent communication skills both written and oral with a strong focus towards exceptional customer service
• Ability to investigate, summarize and present claim facts to vendors, clients and management Created December 2024
• Work independently and maintain a positive work atmosphere in an environment of rapidly changing priorities
• Self-starter who can work under minimum direction to meet or exceed goals and objectives
• Excellent organizational, problem solving and decision-making skills required

Nice To Haves

• WCCA or WCCP designation preferred
• Self-Insured License preferred

Responsibilities

• Conduct and direct investigation to determine AOE/COE, including 24-hour 3-point contact to EE, ER & MD
• Establish initial reserves in a timely manner and maintain accurate reserves based on probable outcome on all claims
• Authorize appropriate medical care, issue timely indemnity benefits and manage all legal aspects of all claims
• Provide quality customer service to clients, producers, employers and injured workers
• Determine settlement value and resolution while moving all cases towards appropriate closure
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees