Workers' Compensation Claims Manager

Davies
San Diego
Workplace: RemoteFull timeUSD 100,000 - 120,000 annuallyFunction: People, HR & TalentExperience: 5-7 yearsSkills: ["Leadership","Communication","Organizational skills","Decision-making","Coaching"]

Lead and manage a team of workers’ compensation adjusters handling medical-only, indemnity, and litigated claims. Provide technical guidance on compensability, reserving, litigation management, return-to-work, subrogation, and excess reporting, while overseeing file reviews, audits, reserve/settlement approvals, and claim strategy. Ensure compliance with multi-jurisdictional workers’ compensation laws and client handling instructions, and partner with defense counsel, care teams, and client stakeholders to drive quality and performance.

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Davies
Davies
1 day ago

Workers' Compensation Claims Manager

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Last checked: 1 hour agoStatus: Live

Job Summary

Lead and manage a team of workers’ compensation adjusters handling medical-only, indemnity, and litigated claims. Provide technical guidance on compensability, reserving, litigation management, return-to-work, subrogation, and excess reporting, while overseeing file reviews, audits, reserve/settlement approvals, and claim strategy. Ensure compliance with multi-jurisdictional workers’ compensation laws and client handling instructions, and partner with defense counsel, care teams, and client stakeholders to drive quality and performance.
Location: San Diego
Workplace: Remote
Employment Type: Full time
Job Function: People, HR & Talent
Seniority: Manager level

Key Responsibilities

  • •Supervise, coach, and mentor workers' compensation adjusters handling medical-only, indemnity, and litigated claims.
  • •Conduct regular file reviews, audits, and performance evaluations to ensure compliance with company standards and client requirements.
  • •Review and approve reserves, settlement recommendations, claim strategies, and authority requests within established guidelines.
  • •Provide technical guidance on compensability, reserving, litigation management, return-to-work coordination, subrogation, and excess reporting.
  • •Monitor adjuster productivity, diary management, claim quality, customer service metrics, and file handling practices; manage escalated and complex claims.

Pay and Benefits

Salary: USD 100,000 - 120,000 annually
Perks:Health InsuranceDentalVision401kPaid LeavePaid HolidaysLife InsuranceDisability

Key Requirements

  • •5-7 years of workers' compensation claims handling experience.
  • •2-3 years of supervisory, team lead, or claims leadership experience.
  • •Strong understanding of multi-jurisdictional workers' compensation statutes and claim handling procedures.
  • •Experience managing medical-only, indemnity, and litigated claims, including reserving, subrogation, and excess reporting.
  • •Knowledge of file audits, performance reviews, and coaching adjusters; excellent written and verbal communication skills.
Experience:5-7 yearsWorkers' compensation
Skills:LeadershipCommunicationOrganizational skillsDecision-makingCoaching
Licenses:Adjuster license
Tech Stack:GuidewireRiskMasterMicrosoft OfficeOutlookExcelWord

Company Brief

Davies
Davies is a specialist professional services and technology firm delivering claims, underwriting, and risk solutions to insurers, reinsurers, brokers and regulated businesses globally, with major capabilities in claims management, forensics, and digital transformation.
Industry: Consulting
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Established Company
Valuation: Unicorn (USD 1B+)
Funding: Private Equity Backed
Headquarters: City of London, United Kingdom
Founded: 1968
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Glassdoor: 3.8
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