Workers' Compensation Excess/SDF Claims Specialist (Remote)

Davies; United States; Remote; USD 45,000 - 60,000; Full time

Benefits offered by this job

Health plan

401(k) match

Paid time off

Paid holidays

Life insurance

Disability coverage

Job summary

Davies North America is seeking a Workers' Compensation Excess/SDF Claims Specialist for a remote, permanent full-time position. You will handle excess reporting for workers’ compensation claims and pursue SDF reimbursements, liaising with clients, carriers, and internal teams in Florida-regulated environments.

The role requires 1–2 years of claims handling in Florida WC law, an active FL adjuster license, and solid communication skills. Competitive benefits are included for eligible employees.

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 of WC claims handling.
• Familiarity with state WC statutes.
• Proficiency with standard office software.
• Strong written and spoken communication.
• Organized and reliable team player.

Responsibilities

• Coordinate with clients and agents to secure excess policy documents.
• Notify excess carriers of our TPA engagement and reporting procedures.
• Identify retention levels and special reporting requirements.
• Report claims to excess carriers with initial, follow-up, and final reports.
• Maintain documentation and timely state reporting compliance.
• Monitor SDF potential and pursue fund reimbursement per rules.
• Communicate with employers, attorneys, and doctors timely.
• Update SDTF and excess status reports quarterly or per schedule.
• Prepare initial/annual reimbursement requests and filing.
• Assist with SI-19 forms and submissions with FLDFS.

Skills

Claims handling

Florida WC law

Adjuster license (FL)

Office experience

State WC statutes

Computer skills

Communication skills

Organizational skills

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 documentation 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

The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these 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]