Workers' Compensation Lost Time Adjuster - CA

Davies North America; Forest Home (AL); On-site; USD 85,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) plan with employer matching

Paid holidays

Life insurance and disability coverage

Job summary

A leading insurance services firm is seeking a Workers’ Compensation Lost Time Adjuster to manage claims from inception to resolution. This full-time, remote position requires excellent communication skills and the ability to handle multiple claims independently. Candidates should have a Bachelor’s degree, California Workers’ Compensation experience, and proficiency in claims management systems. The role includes maintaining strong relationships with involved parties and ensuring timely claim resolutions, with a salary range of $85,000 - $95,000 per year.

Qualifications

• Bachelor’s degree or 1-2 years relevant experience.
• Multiple years handling Workers’ Compensation claims.
• California Workers’ Compensation experience required.

Responsibilities

• Manage full caseload of workers’ compensation claims.
• Conduct investigations for AOE/COE.
• Establish and maintain reserves.

Skills

Excellent written and verbal communication skills

Strong investigative and analytical skills

Organizational and problem-solving abilities

Self-starter with minimal direction

Customer service focus

Education

Bachelor’s degree

WCCA or WCCP designation

California Self‑Insured Certification

Tools

Microsoft Office Suite

Claims management systems

Job description

Department: Claims Administration & Adjusting

Location: Home United States

Compensation: $85,000 - $95,000 / 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.

We’re on the lookout for a Workers’ Compensation Lost Time Adjuster to join our growing team. In this role, you’ll manage a full caseload of workers’ compensation indemnity and lost time claims from inception through resolution. You’ll play a key role in delivering high-quality claims outcomes while maintaining strong communication with injured workers, employers, producers, attorneys, and medical providers.

This is a full‑time, remote position, with occasional travel required for client claim review meetings.

Key Responsibilities

• Manage workers’ compensation lost time and indemnity claims from initial intake through closure
• Conduct and direct investigations to determine AOE/COE, including timely 24‑hour three‑point contact with injured workers, employers, and medical providers
• Establish initial reserves promptly and maintain accurate reserves based on probable claim outcomes
• Authorize appropriate medical care and ensure timely issuance of indemnity benefits
• Manage all legal aspects of claims, including litigation and settlement negotiations
• Maintain a diary system to ensure timely benefit administration and proactive claim handling
• Determine settlement value and drive claims toward appropriate and timely resolution
• Deliver exceptional customer service to clients, producers, employers, and injured workers through clear and professional written and verbal communication
• Accurately document claim activity and present claim facts to clients, vendors, and management
• Perform additional duties as assigned

Skills, knowledge & expertise

• Bachelor’s degree from a four‑year college or university; or one to two years of related experience and/or training; or an equivalent combination of education and experience
• California Workers’ Compensation experience is required
• Multiple years of experience handling Workers’ Compensation claims, including indemnity and litigated claims
• WCCA or WCCP designation
• California Self‑Insured Certification
• Proficiency with Microsoft Office Suite and claims management systems
• Excellent written and verbal communication skills with a strong customer service focus
• Strong investigative, analytical, and claim evaluation skills
• Ability to independently manage a caseload in a fast‑paced, deadline‑driven environment
• Proven organizational, problem‑solving, and decision‑making abilities
• Self‑starter who can work with minimal direction while meeting or exceeding performance goals
• Ability to adapt and maintain a positive, collaborative work atmosphere amid changing priorities

Equal Employment Opportunity & Legal Notices

Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees

Benefits

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• 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.

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.

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