Workers' Compensation Lost Time Adjuster - California
我们的故事想象是作为一个团队的一部分,不仅塑造未来,而且积极推动它。在戴维斯北美,我们处于创新和卓越领域的前沿,将尖端技术与顶级专业服务结合在一起。作为全球戴维斯集团的一个重要组成部分,我们帮助企业导航风险,优化运营以及保险和监管部门的前转型。我们正在寻找一名工人赔偿损失时间调整员加入我们的不断增长的团队!作为一个失败时间调整员,你将管理加州工人赔偿赔偿案件的案例从创立到解决,同时通过电话和书面信与客户,生产商和雇主保持沟通。你还将管理日记系统以确保及时的福利管理和优质的索赔管理。关键责任 ·进行直接调查确定 AOE/COE,包括24小时3点联系 EE,ER & MD ·在所有索赔上建立初始储备并根据可能结果保持准确的储备 ·授权适当的医疗保健,及时发出赔偿福利并管理所有索赔的所有法律方面 ·向客户,生产商,雇主和受伤工人提供优质的客户服务 ·确定和解价值和解决方案,同时将所有的案件转移到合适的关闭 ·其他职责 赋予技能,知识和专业知识 ·从四年制大学或大学获得学士学位;或者一至两年的相关经验和/或培训;或相当于教育和经验组合 ·加州工作人员需要补偿经验 · WCCA 或 WCCP 指定优先 · 自保证许可优先 ·多年的经验· 处理工人赔偿索赔,包括赔偿和法律索赔 · 熟练使用微软办公套件 · 书面和口头沟通能力,重点是优异的客户服务 · 调查,总结并向供应商,客户和管理人员提出索赔事实的能力 · 在快速变化的优先事项环境中独立工作和保持积极的工作氛围 · 自主创业者可以在最低水平下工作以实现或超越目标 · 组织,解决问题和决策技能要求平等就业机会 & 法定通知福利 在戴维斯北美
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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.
Key Responsibilities
- 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
Skills, knowledge & expertise
- 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
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