Workers' Compensation Lost Time Adjuster

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: San Diego, CA

Reporting To: Andre Arellano

Compensation: $94,000 - $95,000 / year

Description

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 Workers' Compensation Lost Time 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.

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

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.

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 Notice It 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.

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 recruitment@davies-group.com