Florida WC Legal Adjuster
Florida, US
About UsÂ
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.Â
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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.âŻÂ
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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.Â
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Job Overview Â
Davies Claims North America is looking for an experienced Workersâ 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 Workersâ Compensation Claims Supervisor, you will investigate assigned Workersâ Compensation claims, provide benefits, and initiate state filings promptly while exercising discretion and independent judgement.Â
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To be successful in this role, you need to possess excellent working knowledge of Workersâ Compensation laws, rules, procedures, case law, liability principles, and medical terminology. You must have at least 5 years of Workersâ 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.Â
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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. Â
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Responsibilities and DutiesÂ
- Evaluate claim detail, including Florida Statute and case law, to determine âŚ
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May require travel Must have US work rights Must reside in Florida
Benefits/PerksCorporate social activities Dental Disability plans Discretionary Time Off Dynamic work environment Full-time Home-based Leadership opportunities Learning Atmosphere Life Insurance Medical Medical, Dental, and Vision plans Paid holidays Promoting from within Remote-first company Time off Vision Vision plans
Tasks- Adjust reserves
- Attend client meetings
- Change Management
- Determine compensability
- Documentation
- Evaluate claims
- Monitor medical treatment
- Other duties as assigned
- Perform other duties
- Perform other duties as assigned
- Review claims
Attention to detail Case law Change Management Claims handling Claims investigation Communication Customer Experience Diversity and Inclusion Documentation Edi filings English Indemnity payments Independent Insurance Interpersonal Investigation IT Leadership Litigation Medical terminology Medicare Microsoft Office Microsoft Office Suite Organization Proactive Problem-solving Reporting Reserving Settlement Subrogation Supervision Time Management Underwriting Vocational rehabilitation Workers Compensation
Experience5 years
EducationBusiness College degree Degree Insurance IT
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9