新墨西哥州工伤理赔专员(新墨西哥州远程办公)
New Mexico Workers' Compensation Adjuster (Remote in NM)
我们的故事
想象一下,成为一支不仅塑造未来,而且积极推动它发展的团队的一员。在Davies北美,我们处于创新和卓越的最前沿,将尖端技术与顶级专业服务相结合。作为全球Davies集团的重要组成部分,我们帮助企业在保险和监管领域应对风险、优化运营并引领变革。
职位介绍
我们正在寻找一位经验丰富的工伤赔偿理赔员加入我们的团队。您将负责调查和评估损失,并制定行动计划,及时解决索赔问题。
此职位要求您居住在新墨西哥州,并持有新墨西哥州理赔员执照,且有5-7年处理工伤赔偿索赔的经验。
主要职责
- 确定每起索赔的保险覆盖范围和可赔偿性
- 调查索赔,包括采访员工、雇主和证人
- 获取必要的记录,包括但不限于医院记录、警方报告、医生记录等
- EDI 和 CMS/第111条报告
- 使用适当的首选供应商
- 向客户和/或保险公司提交全面准确的索赔调查/情况报告
- 与索赔人及其律师协商解决赔偿
- 控制每个账户的诉讼活动和成本
- 可能需要对其他Davies员工进行指导、培训和分享专业知识
- 参加会议、研讨会、培训课程或会议,并阅读书面材料以保持对所负责工作领域原则、实践和最新发展的了解
- 维护并满足特定的执照要求
- 以礼貌和及时的方式回应客户的提问和意见
- 负责重大损失、复杂诉讼和其他敏感问题
- 其他分配的任务
技能、知识和专长
- 能够理解并遵循口头和/或书面的政策、程序和指示
- 能够准确快速地完成各种任务和职责,并满足时间敏感的截止日期
- 能够在多方情况下进行调查
- 能够使用适合所分配任务的标准或定制软件应用
- 能够准备和呈现准确、可靠和事实性的报告
查看英文原文
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 are on the lookout for an experienced Workers' Compensation Adjuster to join our team. You will be responsible for investigating and evaluating losses while developing a plan of action to bring claims to proper resolution in a timely manner.
This role does require you to live in New Mexico and have New Mexico adjuster license, with a minimum of 5-7 years of experience handling Workers' Compensation claims.
Key Responsibilities
- Determines extent of insurance coverage and compensability on each filed claim
- Investigates claims, including interviewing employees, employers and witnesses
- Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc.
- EDI and CMS/Section 111 reporting
- Utilizes appropriate preferred vendors
- Presents thorough and accurate reports to client and/or carrier on claims investigations/situations
- Negotiates settlements for resolutions with claimants and their attorneys
- Maintains control of litigation activities and costs per account requirements
- May be asked to mentor, train and/or share expertise with other Davies staff
- Attends meetings; conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas
- Maintains and meets specific licensing requirements
- Responds to client questions and comments in a courteous and timely manner
- Is responsible for catastrophic losses, complex litigation, and other sensitive issues
- All other duties as assigned
Skills, knowledge & expertise
- Ability to understand and follow oral and/or written policies, procedures and instructions
- Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
- Ability to conduct investigations in multi-party situations
- Ability to use standard or customized software applications appropriate to assigned tasks
- Ability to prepare and present accurate, reliable and factual reports with recommendations
- 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
- Ability to handle confidential information
- Ability to communicate effectively with others both orally and in writing
- Ability and willingness to learn quickly and utilize new skills because of rapidly changing information and/or technology
- Ability to comprehend multi-state laws and regulations to assist other offices, as necessary
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
Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.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.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.
- Maintain regular and dependable attendance.
- Be available and able to perform job responsibilities during established work hours.
Background Check & Fair Chance Compliance
Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.
Massachusetts NoticeIt is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
AI PolicyAt Davies, we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect each individual's own experience, knowledge, and professional judgment.
We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at
Originally posted on Himalayas