Remote Position
Workers' Compensation Lost Time Adjuster - California
🌍 Remote · United States
💼 Full-time
Our StoryImagine 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 Lost Time Adjuster, you will manage a caseload of California 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
- 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
Equal Employment Opportunity & Legal Notices
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 support your health and that of your family
- A 401(k) plan with employer matching
- Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
- Paid holidays
- Life insurance and short‑term and long‑term disability coverage
- Maintain regular and dependable attendance.
- Be available and able to perform job responsibilities during established work hours.
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