Workers' Compensation - Permanent Lost Time Adjuster

DaviesSan Diego, CA
1d$36 - $40Remote

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. We're on the lookout for a Senior Workers’ Compensation Claims Adjuster to join our growing team! As a Senior Workers’ Compensation Claims 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. This role is a full-time, remote position that may require occasional travel to claim review meetings with clients.

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

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.
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