New Mexico Workers’ Compensation Adjuster

New Mexico Workers' Compensation Adjuster

Company: Davies
Location: Remote
Work Requirement: Must live in New Mexico
Employment Type: Full-time
License: New Mexico adjuster license required
Experience Required: 5–7 years of Workers' Compensation claims experience
Salary: Not specified

Contact Details

Email: recruitment@davies-group.com
Important: This email is for concerns about recruitment methods or requests outside the official career portal.

About Davies

Davies North America is part of Davies Group. The company provides professional services and technology solutions for insurance and regulated industries.

Davies supports claims, underwriting, risk, regulation, customer experience, human capital, and digital transformation.

About the Position

Davies is looking for an experienced Workers' Compensation Adjuster to manage claims in New Mexico.

The adjuster will investigate and evaluate losses. The position will also develop action plans to resolve claims accurately and on time.

This position requires residence in New Mexico and a valid New Mexico adjuster license.

Key Responsibilities

• Determine insurance coverage for each claim.
• Evaluate claim compensability.
• Investigate Workers' Compensation claims.
• Interview employees.
• Interview employers and witnesses.
• Obtain hospital records.
• Obtain physician records.
• Obtain police reports when needed.
• Complete EDI reporting.
• Complete CMS and Section 111 reporting.
• Work with approved vendors.
• Prepare accurate claim investigation reports.
• Present reports to clients or carriers.
• Negotiate settlements with claimants.
• Negotiate with claimant attorneys.
• Manage litigation activities.
• Monitor litigation costs.
• Follow account requirements.
• Mentor and train other Davies staff when needed.
• Attend meetings and conferences.
• Attend workshops and training sessions.
• Review industry materials and updates.
• Maintain required licenses.
• Meet licensing requirements.
• Respond to client questions promptly.
• Handle catastrophic losses.
• Handle complex litigation matters.
• Manage sensitive claims issues.
• Perform other assigned duties.

Required Qualifications

• 5–7 years of Workers' Compensation claims experience.
• Valid New Mexico adjuster license.
• Ability to understand written and verbal instructions.
• Ability to complete tasks accurately and quickly.
• Ability to meet time-sensitive deadlines.
• Experience conducting investigations involving multiple parties.
• Ability to use standard or specialized software.
• Ability to prepare factual reports.
• Ability to present reliable findings and recommendations.
• Strong knowledge of claims investigation practices.
• Strong knowledge of claims adjustment practices.
• Strong knowledge of related claims procedures.
• Extensive knowledge of medical terminology.
• Extensive knowledge of legal terminology.
• Understanding of legal principles.
• Understanding of litigation management.
• Ability to handle confidential information.
• Strong written communication skills.
• Strong verbal communication skills.
• Ability to learn new skills quickly.
• Comfort adapting to changing technology.
• Ability to understand multi-state laws and regulations.

Work Environment

• Remote position.
• New Mexico residence required.
• Claims work may involve complex or sensitive matters.
• Regular communication with clients and carriers.
• Ongoing professional learning is expected.

Essential Requirements

• Regular and dependable attendance.
• Ability to perform assigned responsibilities during established work hours.
• Ability to maintain required licensing.

Benefits

• Medical insurance.
• Dental insurance.
• Vision insurance.
• 401(k) with employer matching.
• Paid time off.
• Discretionary Time Off for eligible exempt employees.
• Paid Time Off for eligible non-exempt employees.
• Paid holidays.
• Life insurance.
• Short-term disability coverage.
• Long-term disability coverage.
• Paid sick leave where required by law.
• Paid family leave where required by law.
• Paid parental leave where required by law.
• Other legally required benefits where applicable.

Benefit eligibility may vary based on role classification and applicable laws.

Compensation

The job posting does not provide a specific salary range.

Davies states that compensation may vary based on skills, experience, qualifications, and geographic location.

Background Check

Any applicable background check or criminal history review is conducted after a conditional offer and according to applicable laws.

Recruitment and AI Information

Davies states that candidates may use AI tools to prepare for interviews. Interview responses and assessments should reflect the candidate's own experience and professional judgment.

Davies does not use Facebook, Craigslist, or Telegram for recruitment or interviews.

For concerns about recruitment methods or requests made outside the official career portal contact:

recruitment@davies-group.com

Equal Opportunity

Davies is committed to equal employment opportunity and an inclusive workplace.

The company supports a diverse workforce and values different perspectives and experiences.

How to Apply

Apply through Davies' official career portal.

Company Contact Information

Davies
Work Type: Remote
Employment Type: Full-time
Work Requirement: Must live in New Mexico

Recruitment Email: recruitment@davies-group.com