Workers' Compensation Lost Time Adjuster - California

Department: Claims Administration & Adjusting
Location: San Diego, CA

About the role

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.

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

Requirements

• 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

Skills

• 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

Benefits

• 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

Pay

$75,000 - $83,000 / year

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.