Workers' Compensation Lost Time Adjuster
Permanent - Full Time $94,000 - $95,000 / yearJob Overview
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 Workers’ Compensation Lost Time Adjuster to join our growing team! As a Workers’ Compensation Lost Time 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.
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