Senior WC Adjuster - Nashville, TN

Senior Workers’ Compensation Claims Adjuster

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.

What’s in Store 

We're on the lookout for a Senior Workers’ Compensation Claims Adjuster to join our growing team in Nashville, TN. As a Senior Workers’ Compensation Claims Adjuster, you will be responsible for investigating and evaluating Workers’ Compensation files while developing a plan of action to bring claims to a proper resolution in a timely manner. You should have 3-5 years of Workers’ Compensation claims handling experience, including Lost Time/Indemnity, with a proven ability to communicate effectively. Additionally, you should demonstrate a superb ability to prepare and present reports with recommendations while being detail oriented, meeting time-sensitive deadlines, and possessing a willingness to be flexible in a fast-paced environment. Responsibilities and duties of this position include:

• Determine extent of insurance coverage and liability on each filed claim
• Investigate claims, including interviewing claimants, clients, and witnesses
• Obtain necessary records, including but not limited to, hospital records, police reports, physician records, etc.
• Complete CMS/Section 111 reporting
• Utilize appropriate preferred vendors
• Present thorough and accurate reports to clients on claims investigations/situations
• Negotiate settlements for resolution with claimants and their attorneys
• Maintain control of costs per account requirements
• Effectively address and maintain incoming Docuclass documents in a consistent and timely manner as well as use standard or customized software applications appropriate to assigned tasks
• Attend meetings, conferences, workshops, or training sessions; and review written material to maintain current knowledge on principles, practices, and new developments in assigned work areas
• Maintain and meet state specific licensing requirement
• Respond to client questions and comments in a courteous and timely manner
• Other duties as assigned

This role is a full-time, hybrid position based in Nashville, TN. Travel will be required for in-person meetings and onsite IOD clinic rotation as necessary. You must reside local to the Nashville Metro area to be considered for this role.

Your Expertise, Skills, and Abilities

• Bachelor’s degree in business or another related field or equivalent work experience
• Thorough knowledge of current principles and practices associated with claims investigations, adjustment, and related practices
• Extensive knowledge of medical and legal terminology with a thorough understanding of legal principles/litigation management
• Capable of understanding multi-state laws and regulations to assist other offices, as necessary
• Other Expertise, Skills, and Abilities:
  1. 3-5 years of experience handling Workers’ Compensation claims
  2. Prior experience conducting investigations in multi-party situations
  3. Superior written and verbal communication skills with diverse audiences
  4. Excellent time management, organizational, and problem-solving skills
  5. Superb attention to detail to ensure accuracy while meeting time-sensitive deadlines
  6. Strong ability to prepare and present accurate, reliable, and factual reports with recommendations to appropriate parties
  7. Ability to be flexible in a fast-paced environment as well as understand and follow oral and/or written policies, procedures, and instructions
  8. Discretion when handling confidential information
  9. Exhibit a comfort level working with key people at all levels within an organization

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