Senior Workers' Compensation Claim Adjuster (CA Workers' Comp)

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! 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. Additional responsibilities include:

• 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

This role is a full-time, remote position except for candidates who reside in San Diego County; San Diego County residents will be required to come into the office twice per week. Additionally, this position may require occasional travel to claim review meetings with clients.

Your Expertise, Skills, and Abilities

• 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
• Other skills and abilities:
  • 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

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.

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