Workers' Compensation Lost Time Adjuster

Davies North America; San Diego (CA); On-site; USD 46,838 - 52,348; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) plan with employer matching

Paid Time Off (PTO) package

Life insurance and disability plans

Job summary

A leading insurance services firm in San Diego is seeking a Workers' Compensation Lost Time Adjuster to manage indemnity cases from inception to resolution. In this role, you will conduct investigations, authorize medical care, and ensure superior claims management. The ideal candidate will have California Workers’ Compensation experience and excellent communication skills. This position offers a competitive hourly wage, comprehensive benefits, and a commitment to diversity and inclusion in the workplace.

Qualifications

• Bachelor's degree or equivalent experience required.
• California Workers’ Compensation experience is necessary.
• Excellent communication skills required.

Responsibilities

• Manage a caseload of workers’ compensation indemnity cases.
• Conduct investigations to determine AOE/COE.
• Authorize medical care and issue indemnity benefits.

Skills

California Workers’ Compensation experience

Proficiency with Microsoft Office Suite

Excellent communication skills

Ability to investigate and summarize

Education

Bachelor's degree from a four‑year college or university

Job description

Join to apply for the Workers' Compensation Lost Time Adjuster role at Davies North America

Department: Claims Administration & Adjusting

Location: San Diego, CA

Compensation: $34.00 - $38.00 / hour

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.

We're on the lookout for a Workers’ Compensation Lost Time Adjuster to join our growing team! As a Lost Time Adjuster, you will manage a caseload of workers’ compensation indemnity cases from inception to resolution while maintaining communication with clients, producers and employers via telephone and written correspondence. You will also manage a diary system to ensure timely benefit administration and superior claims management.

Key Responsibilities

• Conduct and direct investigation to determine AOE/COE, including 24‑hour 3‑point contact to EE, ER & MD
• Establish initial reserves in a timely manner and maintain accurate reserves based on probable outcome on all claims
• Authorize appropriate medical care, issue timely indemnity benefits and manage all legal aspects of all claims
• Provide quality customer service to clients, producers, employers and injured workers
• Determine settlement value and resolution while moving all cases towards appropriate closure
• Other duties as assigned

Skills, knowledge & expertise

• Bachelor's degree from a four‑year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience
• California Workers’ Compensation experience is required
• WCCA or WCCP designation preferred
• Self‑Insured License preferred
• Multiple years’ experience handling Workers’ Compensation claims, including indemnity and legal claims
• Proficiency with Microsoft Office Suite
• Excellent communication skills both written and oral with a strong focus towards exceptional customer service
• Ability to investigate, summarize and present claim facts to vendors, clients and management
• Work independently and maintain a positive work atmosphere in an environment of rapidly changing priorities
• Self‑starter who can work under minimum direction to meet or exceed goals and objectives
• Excellent organizational, problem solving and decision‑making skills required

Benefits

• Medical, dental, and vision plans to ensure your health and that of your family.
• A 401(k) plan with employer matching.
• Time‑off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non‑exempt employees.
• Paid holidays.
• Life insurance and both short‑term and long‑term disability plans.

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.