Workers' Compensation Claims Manager
davies · San Diego
Job description
About the role
Davies North America is seeking an experienced Workers' Compensation Claims Manager to lead a team of adjusters handling medical‑only, indemnity, and litigated claims. The role combines leadership, technical guidance, and quality oversight while ensuring compliance with client expectations and state regulations.
Key responsibilities
- Supervise, coach and mentor a team of Workers' Compensation Adjusters.
- Conduct regular file reviews, audits and performance evaluations.
- Review and approve reserves, settlement recommendations and claim strategies.
- Provide technical guidance on compensability, reserving, litigation management, return‑to‑work coordination, subrogation and excess reporting.
- Monitor productivity, diary management, claim quality and customer‑service metrics.
- Support onboarding, training and professional development of team members.
- Ensure compliance with state‑specific workers' compensation laws and client instructions.
- Manage escalated and complex claims and collaborate with counsel, medical providers and client stakeholders.
- Participate in client meetings, stewardship reviews and claim strategy discussions.
- Identify trends, process‑improvement opportunities and training needs.
Required profile
- 5‑7 years of Workers' Compensation claims handling experience.
- 2‑3 years of supervisory or claims‑leadership experience.
- Strong knowledge of multi‑jurisdictional Workers' Compensation statutes and claim handling procedures.
- Excellent communication, organizational and decision‑making skills.
- Ability to balance operational priorities, client service expectations and claim outcomes.
Required skills
What we offer
- Opportunity to lead a high‑performing team within a global insurance services firm.
- Access to cutting‑edge technology and professional development resources.
- Competitive benefits package.
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Published 5 days ago
Expires 1 month from now
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davies
San Diego
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