About this role
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 seeking a Workers’ Compensation Lost Time Claims Adjuster to investigate, evaluate, and manage Workers’ Compensation claims while delivering timely, cost-effective resolutions and exceptional client service. This role manages claims of increasing complexity based on level, including moderate to complex losses, litigated matters, and catastrophic exposures. The adjuster develops and executes strategic action plans to ensure claims are resolved appropriately, efficiently, and in compliance with jurisdictional requirements. Own the full lifecycle of Workers’ Compensation claims, from initial investigation through resolution Determine compensability and coverage with confidence and accuracy Conduct detailed investigations, including interviews and evidence gathering Analyze medical, legal, and employment documentation to guide decision-making Manage EDI reporting and ensure CMS Section 111 compliance Develop and execute strategic claim plans for complex and litigated files Partner with defense counsel to drive effective litigation strategies and control costs Negotiate settlements with claimants and attorneys to achieve optimal outcomes Handle catastrophic and high-severity claims with care and precision Leverage preferred vendors and cost-containment tools effectively Deliver clear, insightful reporting to clients and excess carriers Maintain strong client relationships through responsive, professional communication Stay current on jurisdictional requirements, trends, and best practices Support team development through mentorship and knowledge sharing