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Bodily Injury Adjuster

Davies North America
Remote, US, United StatesRemotefull_timeVerifiedPosted 3 Oct 2024
💰 $65,000/yr($50,000/yr$65,000/yr)

About the role

Our Story

Imagine 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.

 

What’s in Store 

We're on the lookout for a Bodily Injury Adjuster to join our growing team! As a Bodily Injury Adjuster, you will adjust third party General Liability, Auto Liability, Errors and Omissions, and Law Enforcement claims in which a claim exists for bodily injury, personal injury or wrongdoing. This role is a full-time, home-based position that may require travel at times to claims meetings at client locations, seminars for obtaining CEU credits, and scene investigations or inspections.

 

  • Perform all duties as outlined in the Property Damage Adjuster Job Description 
  • Daily review of workflow and claim system reminders with follow up and significant progress towards completion of any task set as a reminder, or received in workflow within 72 hours 
  • Review of new claims assignments within 24 hours of assignment/Completion of the Plan of Action
  • Contact with the insured/claimant within 24 hours of assignment
  • Assign appraisers or coordinate the receipt of estimates of damage according to client guidelines or approval
  • Determine if estimates or appraisals are appropriate based upon reported damages and other evidence
  • Gather evidence of damages
  • Interview or obtain recorded statements from the claimant, the Insured and any witnesses 
  • Request payment authorization according to client guidelines and Davies Claims North America policy and procedures
  • Follow client guidelines for any claim denial
  • Obtain internal investigation reports from the insured (client) when permitted by the client
  • Professional and timely communication with the client
  • Determine degree of attorney involvement, if any
  • Always act with the utmost good faith in handling of the claim from beginning to closure
  • Set reminders within the claim system for necessary follow up in an appropriate time frame
  • Accurately record any communication, or activity relevant to the claim; in the claim system notes
  • Follow procedures to image documents sent to you that are relevant to the claim file (including e-mail)
  • Meet the requirements of Continuing Education as required for licensure as an adjuster
  • Maintain a 95% claim closure ratio
  • Report to the Excess carrier on any claim that meets the requirements to do so (including status reports)
  • Immediately notify your supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, communicate and cooperate with defense counsel
  • Obtain status reports from defense counsel at 90-day intervals
  • Read and Understand the Excess Carrier Insurance Policy
  • Run ISO ClaimSearch on injured claimants
  • Determine the injury status of all persons involved in a crash investigation
  • Interact with insurance adjusters from other companies to obtain information needed to process your claim
  • Respond to Reservation of Rights letters from Excess Carrier if necessary
  • Develop working knowledge of No Fault/PIP law
  • Enter necessary information into the claim system to ensure mandatory reporting to Medicare
  • Follow Davies Claims North America guidelines when settling claims involving a Medicare recipient
  • Check for the claimant’s compliance with F.S. 768.28 Sovereign Immunity
  • Recommend/assign field adjuster as necessary
  • Review field adjuster reports for thoroughness and accuracy.

 

Your Expertise, Skills, and Abilities

  • College degree or equivalent experience
  • Possession of Adjuster license
  • Maintain CEU credits for Adjuster license 
  • Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology
  • Previous experience with settling bodily injury claims
  • Proficiency with Microsoft Office Suite
  • Proactive, independent, dependable, and takes initiative with consistent follow through
  • Superb written and verbal communication skills conducted in a timely manner with diverse audiences
  • Superior time management skills with capability

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Company

Davies North America

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