Davies North America · 3 hours ago
Sr. Workers Compensation Adjuster - Onsite
Atlanta, GA
Full-time
Onsite
Mid, Senior Level
$75K/yr - $85K/yr
5+ years expDavies North America is a leading company in the insurance and regulated sectors, focused on innovation and excellence. They are seeking an experienced Senior Workers Comp Claim Adjuster to investigate, evaluate, and resolve workers’ compensation claims, managing complex cases while providing exceptional service to clients.
Financial ServicesInsurance
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
Required
5–7 years of relevant experience
Strong understanding of claims investigation
Legal and medical terminology knowledge
Multi-state workers' compensation regulations knowledge
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
Knowledge of multi-state workers' compensation laws and regulations
Maintain required professional licensing
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.
Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees.
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 North America
We deliver professional services and technology solutions across the risk and insurance market, including claims, underwriting, distribution, regulation, customer experience, human capital, digital transformation and change management.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Anne Ingoldsby
Chief Operating Officer
Beverly Adkins
Chief Operating Officer
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