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Davies · 2 days ago

Workers' Compensation - Permanent Lost Time Adjuster

United States

Full-time

Remote

Senior Level

$36/hr - $40/hr

Davies North America is at the forefront of innovation and excellence in professional services and technology. They are seeking a Senior Workers’ Compensation Claims Adjuster to manage a caseload of workers’ compensation indemnity cases from inception to resolution, ensuring timely benefit administration and superior claims management.

Commercial InsuranceFinancial ServicesInsuranceInsurTech

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

California Workers’ Compensation experienceWCCAWCCP designationSelf-Insured LicenseMultiple years’ experience handling claimsMicrosoft Office Suite proficiencyBachelor's degreeCustomer service skills

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