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Florida WC Legal Adjuster

Florida, US

About Us 

At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. We believe that engaging in corporate social activities and working together as a team is a vital part of the Davies culture. 

 

With a multinational global team, Davies Group is a specialist professional services and technology firm working in partnership with leading insurance, highly regulated, and global businesses. At Davies Group, we help clients to manage risk, operate core business processes, and to transform and grow. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management.  

 

Are you looking for a company that is Dynamic and Innovative where the employees are Connected and Succeed Together? If so, Davies may just be the right choice for you. 

 

Job Overview  

Davies Claims North America is looking for an experienced Workers’ Compensation Legal Adjuster to evaluate claim detail, including Florida Statute and case law, to determine compensability and total value of the claim then set and adjust reserve accordingly. Reporting to the Workers’ Compensation Claims Supervisor, you will investigate assigned Workers’ Compensation claims, provide benefits, and initiate state filings promptly while exercising discretion and independent judgement. 

 

To be successful in this role, you need to possess excellent working knowledge of Workers’ Compensation laws, rules, procedures, case law, liability principles, and medical terminology. You must have at least 5 years of Workers’ Compensation experience, experience settling claims, and be able to use Microsoft Office Suite and various other software programs. Additionally, you will need to be proactive and exhibit superior time management skills with the capability of working with and meeting deadlines as well as be willing to attend claims meetings at client locations, participate in client visits, attend seminars to maintain CEU credits &/or attend hearings, mediations, and depositions, as needed. 

 

This role is a full-time, home-based (must reside in Florida) or hybrid (if residing within the geographical area of Lakewood Ranch, FL) position and may require travel at times.  

 

Responsibilities and Duties 

  • Evaluate claim detail, including Florida Statute and case law, to determine …
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