P & C adjuster (Bodily Injury) (DCNA)

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Home United States

Reporting To: Chris Lewis

Compensation: $65,000 - $75,000 / 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.
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.

Key Responsibilities

• 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

Skills, knowledge & expertise

• 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 ti