Sr. Workers Compensation Adjuster - Onsite jobs in United States
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Davies · 2 months ago

Sr. Workers Compensation Adjuster - Onsite

Davies North America is a leading professional services and technology firm specializing in risk and insurance solutions. They are seeking a Senior Workers Compensation Adjuster to investigate, evaluate, and resolve workers’ compensation claims, while delivering exceptional service and managing complex cases.

Commercial InsuranceFinancial ServicesInsuranceInsurTech

Responsibilities

Work onsite to determine coverage and compensability for each filed claim
Conduct thorough investigations, including interviewing employees, employers, and witnesses
Obtain and review necessary records, including hospital, physician, and police reports
Ensure accurate EDI and CMS/Section 111 reporting
Utilize and coordinate with preferred vendors as appropriate
Prepare and present comprehensive reports to clients and excess carriers regarding claims status and recommendations
Negotiate settlements with claimants and their attorneys to achieve appropriate resolutions
Maintain control of litigation activities and costs in accordance with account requirements
Mentor, train, and share expertise with other Davies staff as needed
Attend meetings, conferences, workshops, and training sessions to stay current on best practices and industry developments
Maintain required professional licensing
Respond to client inquiries courteously and in a timely manner
Manage catastrophic losses, complex litigation, and sensitive claims
Perform all other duties as assigned

Qualification

Workers' compensation regulationsClaims investigation principlesLegal terminology knowledgeClaims software proficiencyLitigation management experienceHandle confidential informationQuick learnerCommunication skills

Required

5–7 years of relevant experience in workers' compensation claims adjusting
Strong understanding of claims investigation, legal and medical terminology
Knowledge of multi-state workers' compensation regulations
Ability to perform multiple duties with accuracy, speed, and adherence to deadlines
Skilled in multi-party claim investigations
Proficient in standard or customized claims software applications
Ability to prepare and present factual, accurate reports with clear recommendations
Thorough knowledge of claims investigation principles and practices
Extensive medical and legal terminology knowledge and litigation management experience
Ability to handle confidential information with discretion
Strong verbal and written communication skills
Quick learner with the ability to adapt to new information and technology
Strong understanding of oral and written policies, procedures, and instructions

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.

Company

Davies

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We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.

Funding

Current Stage
Late Stage
Total Funding
$369.18M
Key Investors
Blackstone Credit
2025-05-22Debt Financing· $369.18M
2021-03-16Acquired
2020-01-21Private Equity

Leadership Team

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Dan Saulter
Group CEO
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Company data provided by crunchbase