Homeoffice Worker's Comp Claims Adjuster at Davies
Davies · Nashville, United States Of America · Remote
- Professional
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.
The Workers’ Compensation Claim Adjuster investigates and evaluates claims while developing a plan of action to bring each claim to proper resolution in a timely and effective manner. This role requires strong analytical, communication, and organizational skills, with the ability to handle multiple claims and maintain excellent client service.
Key Responsibilities
- Investigate claims, including interviewing employees, employers, and witnesses
- Obtain and review necessary records, including hospital, physician, and police reports
- Conduct EDI/CMS/Section 111 reporting accurately and timely
- Utilize preferred vendors as appropriate
- Prepare and present thorough, factual reports and recommendations to clients
- Maintain accurate documentation and diary notes for ongoing claims
- Attend client and internal meetings as required
- Keep current on principles, practices, and new developments in workers’ compensation claims
- Maintain compliance with state-specific licensing requirements
- Respond promptly and courteously to client questions and concerns
- Perform other duties as assigned
Skills, knowledge & expertise
- Strong ability to understand and follow oral and written policies, procedures, and instructions
- Capacity to perform a wide variety of tasks accurately and efficiently under time-sensitive deadlines
- Skill in conducting multi-party investigations
- Proficiency in standard and customized software applications for claims management
- Ability to prepare and present reliable and factual reports with clear recommendations
- Thorough knowledge of workers’ compensation claims adjustment practices
- Extensive knowledge of medical terminology and treatment documentation
- Ability to handle confidential and sensitive information
- Excellent oral and written communication skills
- Adaptable and able to learn quickly in a fast-changing environment
- Knowledge of multi-state workers’ compensation laws and regulations a plus
- 3–5 years’ experience handling workers’ compensation claims
- College degree or equivalent business experience
Benefits
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 ensure your health and that of your family.
- A 401k plan with employer matching to help you build a secure financial future.
- Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
- Paid holidays.
- Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.
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.
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.
