Workers' Compensation - Permanent Lost Time Adjuster at Davies

San Diego, California, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Apr, 26

Salary

40.0

Posted On

07 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers' Compensation, Claims Adjusting, Investigation, Customer Service, Medical Care Authorization, Indemnity Benefits, Legal Aspects Management, Settlement Value Determination, Diary System Management, Communication, Microsoft Office Suite, California Workers’ Compensation Experience, WCCA Designation, WCCP Designation, Self-Insured License, Claims Management

Industry

Accounting

Description

Workers' Compensation - Permanent Lost Time Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: San Diego, CA Reporting To: Ellin Sipkovich Compensation: $36.00 - $40.00 / hour Description 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. Key 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 Skills, knowledge & expertise 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 WCCA or WCCP designation preferred Self-Insured License preferred Multiple years’ experience handling Workers’ Compensation claims, including indemnity and legal claims Proficiency with Microsoft Office Suite Benefits Benefits At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes: 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. Diversity and Inclusion Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard. Compensation Transparency: The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

Responsibilities

Manage a caseload of workers’ compensation indemnity cases from inception to resolution while maintaining communication with clients, producers, and employers. Conduct investigations, establish reserves, authorize medical care, and provide quality customer service.