# New Mexico Workers' Compensation Adjuster (Remote in NM)

**Company**: Davies
**Location**: New Mexico, New Mexico
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://davies.pinpointhq.com/en/postings/23cb7713-fc1f-4cd7-9be7-30a68d8f88ee?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_40ac9d44-616

## Description

We are looking for an experienced Workers' Compensation Adjuster to join our team. You will investigate and evaluate losses, developing a plan to bring claims to proper resolution in a timely manner.

Davies North America is a leading provider of professional services and technology solutions.

### Key Responsibilities

- Determine the extent of insurance coverage and compensability on each filed claim

- Investigate claims, including interviewing employees, employers, and witnesses

- Obtain necessary records, such as hospital records, police reports, and physician records

- Handle EDI and CMS/Section 111 reporting

- Utilize preferred vendors

- Present thorough and accurate reports to clients and/or carriers on claims investigations

- Negotiate settlements for resolutions with claimants and their attorneys

- Maintain control of litigation activities and costs per account requirements

- Mentor, train, and share expertise with other Davies staff

- Attend meetings, conferences, workshops, or training sessions to maintain current knowledge on principles, practices, and new developments

- Maintain specific licensing requirements

- Respond to client questions and comments in a courteous and timely manner

- Handle catastrophic losses, complex litigation, and sensitive issues

### Skills, Knowledge & Expertise

- Understand and follow oral and written policies, procedures, and instructions

- Perform a wide variety of duties and responsibilities with accuracy and speed while meeting deadlines

- Conduct investigations in multi-party situations

- Use standard or customized software applications

- Prepare and present accurate, reliable, and factual reports with recommendations

- Have thorough knowledge of current principles and practices associated with claims investigations and adjustment

- Possess extensive knowledge of medical and legal terminology with a thorough understanding of legal principles and litigation management

- Handle confidential information

- Communicate effectively with others orally and in writing

- Learn quickly and utilize new skills due to rapidly changing information and technology

- Comprehend multi-state laws and regulations

### Benefits

- Medical, dental, and vision plans

- 401(k) plan with employer matching

- Time-off policies, including Discretionary Time Off (DTO) and Paid Time Off (PTO)

- Paid holidays

- Life insurance and short-term and long-term disability coverage

## Skills

### Required
- claims investigations
- adjustment
- litigation management
- medical terminology
- legal principles

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Source: [Apply at davies.pinpointhq.com](https://davies.pinpointhq.com/en/postings/23cb7713-fc1f-4cd7-9be7-30a68d8f88ee?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)