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 on the lookout for an experienced Workers' Compensation Adjuster to join our team. You will be responsible for investigating and evaluating losses while developing a plan of action to bring claims to proper resolution in a timely manner. This role does require you to live in New Mexico and have New Mexico adjuster license, with a minimum of 5-7 years of experience handling Workers' Compensation claims. Determines extent of insurance coverage and compensability on each filed claim Investigates claims, including interviewing employees, employers and witnesses Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc. EDI and CMS/Section 111 reporting Utilizes appropriate preferred vendors Presents thorough and accurate reports to client and/or carrier on claims investigations/situations Negotiates settlements for resolutions with claimants and their attorneys Maintains control of litigation activities and costs per account requirements May be asked to mentor, train and/or share expertise with other Davies staff Attends meetings; conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas Maintains and meets specific licensing requirements Responds to client questions and comments in a courteous and timely manner Is responsible for catastrophic losses, complex litigation, and other sensitive issues All other duties as assigned