Davies North America · 12 hours ago
Workers' Compensation Lost Time Adjuster
San Diego, CA
Full-time
Onsite
Mid Level
$34/hr - $38/hr
3+ years expDavies North America is at the forefront of innovation and excellence in the insurance sector, and they are seeking a Workers’ Compensation Lost Time Adjuster to manage a caseload of indemnity cases. The role involves maintaining communication with clients and ensuring timely benefit administration while providing superior claims management.
Financial ServicesInsurance
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
Qualification
Required
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
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
Preferred
WCCA or WCCP designation preferred
Self-Insured License preferred
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 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
Company data provided by crunchbase