Compensation Claims Professional

1 week ago


Bradenton, Florida, United States Davies Claims North America Full time
Job Opportunity

We are seeking a skilled Compensation Claims Professional to join our team at Davies Claims North America.

About Us

Davies is a specialist professional services and technology firm that works in partnership with leading insurance, highly regulated, and global businesses. Our goal is to help clients manage risk, operate core business processes, and transform and grow.

Job Description

This is a hybrid, full-time position based out of Lakewood Ranch, FL, where you will be responsible for evaluating claim detail, determining compensability and total value of the claim, and setting and adjusting reserves accordingly. You will also investigate assigned Workers' Compensation claims, provide benefits, and initiate state filings promptly while exercising discretion and independent judgement.

Key Responsibilities

  • Evaluate claim detail to determine compensability and total value of the claim
  • Investigate assigned Workers' Compensation claims and provide benefits
  • Initiate state filings and maintain accurate indemnity payments
  • Handle EDI filings and rejections
  • Monitor medical treatment and review medical bills for payment
  • Maintain adequate reserves for life of claim
  • Attend client meetings and maintain regular telephone contact

Requirements

  • 5+ years of Lost Time/Legal Adjusting claims experience
  • FL All Lines Adjuster or Workers' Compensation License
  • Certified Employee Benefit Specialist (CEBS) designation
  • Excellent communication and problem-solving skills

Benefits

  • Medical, dental, and vision plans
  • 401k plan with employer matching
  • Discretionary Time Off (Vacation and Safety/Sick Leave) and Paid Holidays
  • Life insurance, short term, and long-term disability plans

Salary: $83,000 - $120,000 per year, depending on experience.

Location: Lakewood Ranch, FL. We welcome candidates from surrounding areas to apply.



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