Workers’ Compensation Adjuster – Lost Time

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.  

As part of Davies Specialty Programs, PGCS specializes in Third Party Claims Administration for Workers’ Compensation and Liability claims. We pride ourselves on our friendly, team-orientated work environment. Our energetic team, supportive leaders, and can-do attitude enhance a sense of collaboration and belonging in our teammates. Our focus is on quality, professional, superior service. This service-driven philosophy, conveyed throughout the organization, means we operate with the customers’ best interests at heart, constantly reinforcing our mission – Service Beyond the Contract.

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

Job Overview

PGCS, part of Davies Specialty Programs, is looking for an experienced Workers’ Compensation Claims Adjuster. Reporting to the Claims Supervisor, you will be responsible for the handling of Workers’ Compensation claims for self-insured and public entity accounts, including complex and high exposure claims. This includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves.

Opportunity to work from home.

Responsibilities and Duties:

• Analyzing the claim exposure to determine the proper course of action and to appropriately settle or close the claim.
• Building and maintaining rapport with client contacts to ensure retention and client satisfaction.
• Managing and directing the claim file; including determining indemnity, calculating loss of income, evaluating the treatment plan, testing, surgery, surveillance, attorney involvement, return-to-work, light duty; appropriate calculation and timely payment of all benefits.
• Handling legal …