Workers' Compensation Lost Time Adjuster - West Palm Beach, FL

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. Davies Claims North America is looking for an experienced Lost Time Adjuster to conduct thorough investigations of assigned Workers’ Compensation claims. Reporting to the Workers’ Compensation Supervisor, you will adjust claims for assigned Davies Claims North America TPA clients, provide benefits, and initiate state filings timely while exercising discretion and independent judgment. To be successful in this role, you need to be proactive and independent while taking initiative with consistent follow through, demonstrate a high level of attention to detail, and possess superb problem solving skills. You must have at least 1 to 3 years of experience handling Workers’ Compensation claims as well as exhibit working knowledge of Workers’ Compensation Statutes and Rules and their application. Additionally, you will need to display an exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment. This is a full-time hybrid position requiring onsite attendance three days per week at our client's office in Palm Beach County, Florida, with the remaining two days worked remotely from a home office. Candidates must be comfortable with a consistent hybrid schedule and regular in-person collaboration at the client location. Adjust claims for assigned Davies Claims North America TPA clients Investigate claims by completing 24-hour contact with employee, employer, physician(s), and witnesses Evaluate claim detail, Florida Statute, and case law to determine compensability and total value of claim Display capability of setting and adjusting reserve amounts accordingly Initiate accurate indemnity payments in a timely manner and maintain diary for ongoing payments Ensure timely and proper completion of all required State filings Handle EDI filings and rejections in conjunction with EDI adjuster Monitor medical treatment in conjunction with the assigned Nurse Case Manager Review, document and approve medical bills for payment within three days of receipt Authorize appropriate medical services as outlined per Florida Statute 440.13 Maintain regular telephone contact with injured employees Determine whether vocational rehabilitation services are needed for an employee to return to work Coordinate light duty availability and reasonable accommodations with medical providers and employers Maintain adequate reserves for life of claim utilizing reserve worksheets, ODG Guidelines, Workers’ Computation software, and Davies Claims North America…