Workers' Compensation Excess/SDF Claims Specialist (Remote)

Davies; Florida; Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) with employer matching

Discretionary Time Off (DTO) / PTO

Paid holidays

Life insurance and disability coverage

Job summary

Davies North America is seeking a Workers' Compensation Excess/SDF Claims Specialist to work remotely in the United States. You will submit excess reports on workers’ compensation claims, pursue SDF claims, and manage reporting timelines for our clients under state regulations.

Ideal candidates have 1–2 years of Florida WC claims handling, an active adjuster license, and solid communication and organizational skills.

Qualifications

• 1-2 years of claims-handling experience in Florida WC law.
• 1-2 years of office experience.
• Active Adjuster license (FL 5-24 or 5-20/6-20).
• Working knowledge and experience handling Workers’ Compensation claims.
• Knowledge of state-specific Workers’ Compensation statutes.
• Ability to effectively operate a personal computer and related claims and business software.
• Good communication skills, both oral and written; good customer service skills.
• Excellent organizational skills. Team player. Good attendance.

Responsibilities

• Coordinate with clients and agents to ensure excess policies and declarations pages are available for each year with open claims.
• Provide notification to clients’ excess carrier regarding TPA services and reporting procedures.
• Identify retention levels and special reporting requirements for each policy period.
• Report to excess carrier with initial, follow-up and final reports per carrier guidelines.
• Maintain communication with team re excess reporting and timely reporting.
• Evaluate files for SDF potential and pursue reimbursement per state requirements.
• Contact employers, attorneys, field reps and doctors timely.
• Notify SDTF of settlements and advise on approval procedures.
• Ensure all file handling includes consistent system documentation and timely compliance.
• Maintain diary and keep files current per company standards.
• Correspond with excess carriers and the SDTF regarding excess/SDF issues.
• Update SDF and excess status reports on a quarterly/3-,6-,12-month basis.
• Provide SDTF with reimbursement requests.
• Monitor diary, complete SI-19 forms and facilitate timely filing with FLDFS.

Skills

Claims handling

Florida WC law

Adjuster license

Software proficiency

Communication skills

Organizational skills

Team player

Attendance

Office experience

Tools

Claims software

Job description

Workers' Compensation Excess/SDF Claims Specialist (Remote)

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Home United States

Reporting To: WC Claims Supervisor

Compensation: $45,000 - $60,000 / year

Description

Our Story

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.

What's in Store

We are on the lookout for a Workers' Compensation Excess/SDF Claims Specialist to join our team. You will be responsible for submitting timely and appropriate excess reports to excess companies on workers’ compensation claims on behalf of our customers maintaining specific contract timelines and financial thresholds. Pursue, perfect and manage SDF claims to conclusion pursuant to company and state regulations.

Key Responsibilities

• Coordinate with all clients and/or their insurance agents to ensure excess insurance policies and declaration pages are available for each year with open claims, maintained in the master account files
• Provide timely notification/correspondence to each client’s excess carrier identifying that we have been retained to provide Third Party Administration services, and our usual procedures for reporting a claim to the excess carrier
• Identify to the appropriate claim supervisor(s), claims specialist(s) and IS Dept the retention levels for each excess insurance policy period(s) and all special reporting requirements identified by the excess carrier that are in addition to usual excess reporting requirements.
• Provide required reporting of all claims to the appropriate excess carrier as follows: the Initial Notice of a claim to the excess carrier with specific details, copies etc., Follow-up/Supplemental Reports on each claim diaried to be completed within the follow‑up reporting guidelines as established by each excess carrier (i.e., 90 days/180 days, etc.), assist the Claims Specialist with settlement authority from the appropriate excess carrier on claims that will reach the Self‑Insured Retention level (SIR), provide copies of the settlement documentations to the excess carrier with the Final Report
• Maintain communication with claims specialists and supervisors re. handling of excess reporting to ensure all claims that meet excess insurance criteria are reported to the excess insurance carriers in a professional and timely manner
• Evaluate files for SDF potential and aggressively pursue to meet the State’s requirements for successful Fund reimbursement
• Contact with employers, attorneys, field representatives and doctors in timely manner
• Notify SDTF of all potential settlements on SDF cases and advise claims specialists of the Fund’s settlement approval procedures
• Ensure all file handling includes consistent system documentation and timely compliance of all State reporting
• Maintain file diary. Keep all files current according to company standards
• Correspond with excess carriers and the SDTF regarding excess/SDF issues
• Update SDF status reports to certain clients on a quarterly basis, and excess status reports to the excess carriers on a 3-, 6- or 12-month basis on certain accounts.
• Provide SDTF with initial and annual reimbursement requests
• Monitor on diary, complete SI-19 forms and facilitate customer execution and timely filing with FLDFS
• Perform other duties as assigned.

Skills, knowledge & expertise

• 1-2 years of claims-handling experience in Florida WC law.
• 1-2 years of office experience.
• Active Adjuster license (FL 5-24 or 5-20/6-20).
• Working knowledge and experience handling Workers’ Compensation claims.
• Knowledge of state-specific Workers’ Compensation statutes.
• Ability to effectively operate a personal computer and related claims and business software.
• Good communication skills, both oral and written; good customer service skills.
• Excellent organizational skills. Team player. Good attendance.

Equal Employment Opportunity & Legal Notices

Benefits

At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:

• 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

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.

Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.

Compensation Transparency

The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

Essential Functions

• Maintain regular and dependable attendance.
• Be available and able to perform job responsibilities during established work hours.

Background Check & Fair Chance Compliance

Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.

Massachusetts Notice

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

AI Policy

At Davies, we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect each individual's own experience, knowledge, and professional judgment.

We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at [e-mail]