Workers' Compensation Lost Time Adjuster - California
Davies · San Diego, CA; San Diego, California
Hires from United States: "San Diego, CA; San Diego, California"
The post
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 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.
- Conduct and direct investigation to determine AOE/COE, including 24-hour 3-point contact to EE, ER & MD - Must have up to date CA 101 Training. - 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
- 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