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Workers' Compensation - Permanent Lost Time AdjusterDavies North AmericaSan Diego, California, United States

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Workers' Compensation - Permanent Lost Time Adjuster

Davies North America
  • US
    San Diego, California, United States
  • US
    San Diego, California, United States

Über

Overview
Location: San Diego, CA. This is a full-time, remote position that may require occasional travel to claim review meetings with clients. Compensation: $36.00 - $40.00 / hour. Department: Claims Administration & Adjusting. Our story: Davies North America is part of the global Davies Group. We blend cutting-edge technology with professional services to help businesses navigate risk, optimize operations, and drive transformation in the insurance and regulated sectors. We are seeking a Senior Workers’ Compensation Claims Adjuster to manage a caseload of workers’ compensation indemnity claims from inception to resolution, maintaining communication with clients, producers, and employers. This role requires diary management to ensure timely benefit administration and high-quality claims management. This role is a full-time position and may require occasional travel to client claim review meetings.
Responsibilities
Conduct and direct investigations 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
Qualifications
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
Medical, dental, and vision plans
A 401k plan with employer matching
Discretionary Time Off for exempt employees and PTO for non-exempt employees
Paid holidays
Life insurance and short-term and long-term disability plans
Diversity and Inclusion Davies is dedicated to fostering a diverse and inclusive workplace and values all voices.
Compensation Transparency The salary range listed reflects the full compensation band for this role across all locations. Final offers are based on factors such as skills, experience, qualifications, and geographic location.
Additional Details
Seniority level: Entry level
Employment type: Full-time
Job function: Human Resources
Industries: Insurance
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  • San Diego, California, United States

Sprachkenntnisse

  • English
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