Workers’ Compensation Claims Specialist II – Lost Time Adjuster

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

USIS, Inc., part of Davies Specialty Programs, is looking for a WC Claims Specialist II to manage the investigation, evaluation, disposition and settlement of Workers’ Compensation claims for a public entity account, 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:

• Analyze the claim exposure to determine the proper course of action and to appropriately settle or close the claim in accordance with state, company and client policy and procedure.
• Build and maintain rapport with client contacts to ensure retention; perform in manner to meet/exceed client expectations, following policy and procedure per client.
• Manage and direct the claim file including determination of indemnity, calculate loss of income; whether medical is related and appropriate; evaluate …