Coming Soon- Claims Adjuster (Construction Defect)

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Home United States

Reporting To: Carolyn Bowers

Compensation: $80,000 - $95,000 / year

Description

Our StoryImagine 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.
As a Claim Adjuster, you will play a crucial role in the insurance industry by evaluating and processing insurance claims. You will be responsible for investigating claims, assessing damages, determining coverage, and negotiating settlements. Your attention to detail, analytical skills, and ability to communicate effectively with clients and other stakeholders will be vital in ensuring fair and efficient resolution of claims. This position requires a strong understanding of insurance policies, regulations, and industry standards, and you must complete investigations and claims adjusting in full compliance with any relevant Department of Insurance regulations. All tasks must be done in accordance with authority granted to the company and you, making sure to obtain carrier or management authority when needed.

Key Responsibilities

• Investigate, evaluate, and adjust insurance claims to determine coverage, liability, and damages in compliance with carrier authority, company guidelines, and Department of Insurance regulations.
• Analyze policy language and prepare accurate coverage correspondence, including reservation of rights and denial letters, as applicable.
• Conduct thorough investigations, including interviews, site inspections, and review of police reports, medical records, photographs, and proof of loss.
• Document claim activity and prepare detailed reports addressing coverage analysis, damage assessments, reserves, and settlement recommendations.
• Negotiate fair and timely claim resolutions in accordance with legal requirements, industry standards, and assigned authority.
• Communicate professionally with claimants, insureds, brokers, attorneys, and other stakeholders, providing timely updates and responsive customer service.
• Collaborate with internal teams, including management, coverage, and accounting, and participate in carrier calls, presentations, mediations, and strategic discussions.
• Maintain complete, accurate, and timely claim files in the claims management system, including diaries, notes, correspondence, and required documentation.
• Monitor claim progress, meet established deadlines, and ensure ongoing regulatory and carrier compliance.
• Stay current on industry trends, regulations, and best practices through ongoing training and professional development.

Skills, knowledge & expertise

• Bachelor’s degree or equivalent relevant work experience.
• 3–5 years of experience handling Construction Defect claims required.
• Prior experience as a Claim Adjuster, Claim Counsel, or similar role within the insurance industry.
• Strong knowledge of insurance policies, coverage analysis, and claims handling procedures.
• Familiarity with applicable legal and regulatory requirements.
• Excellent analytical, negotiation, and problem-solving skills with strong attention to detail.
• Clear and effective written and verbal communication skills.
• Proficiency with claims management systems and digital tools.
• Ability to work independently, manage deadlines, and obtain carrier or management authority as required.

Benefits

BenefitsAt Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and vision plans to ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

 Diversity and InclusionDavies is dedicated to fostering a diverse an