Senior Claim Adjuster
Davies North AmericaAbout the role
About Us
At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. We believe that engaging in corporate social activities and working together as a team is a vital part of the Davies culture.
With a multinational global team, Davies Group is a specialist professional services and technology firm working in partnership with leading insurance, highly regulated, and global businesses. At Davies Group, we help clients to manage risk, operate core business processes, and to transform and grow. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management.
Davies Claims Solutions operates within the rapidly expanding US segment of the Casualty and Transportation business. We provide end to end solutions for property, liability, workers’ compensation, auto claims, and more. We offer a full range of desk-led technical claims handling, adjusting, appraisals, and supply chain services.
Are you looking for a company that is Dynamic and Innovative where the employees are Connected and Succeed Together? If so, Davies may just be the right choice for you.
Job Overview
Davies Claims Solutions is looking for an experienced Senior Claims Adjuster with a focus on Casualty adjusting who will be responsible for investigating and evaluating losses while developing a plan of action to bring claims to a proper resolution in a timely manner. Reporting to the Liability Claims Supervisor, you will determine the extent of insurance coverage and liability on each filed claim.
To be successful in this role, you need to have superb communication skills, both verbal and written, be able to multi-task and prioritize with excellent organization and documentation skills and demonstrate superior time management skills with the capability of working with and meeting deadlines in a fast-paced, dynamic work environment. You must have at least 5 years of experience handling Property, Casualty, and Liability claims. Additionally, you will need to have a high level of attention to detail and exceptional problem-solving skills. This role is a full-time, home-based position.
Responsibilities and Duties
- Evaluate claim detail, determine the extent of insurance coverage and liability, and address compensability and causation on each claim
- Initiate investigation of claims and interview claimants, clients, employees, employers, and witnesses
- Obtain necessary records, including but not limited to, hospital records, police reports, and physician records
- Conduct NMVTIS and CMS/Section 111 reporting
- Utilize appropriate preferred vendors
- Present thorough and accurate reports to clients and excess carriers on claims investigations and situations
- Negotiate settlements for resolutions with claimants and their attorneys
- Maintain control of litigation activities and costs per account requirements
- Effectively address and maintain incoming Docuclass documents in a consistent and timely manner
- Attend meetings, mediations, conferences, workshops, or training sessions
- Review written material to sustain current knowledge on principles, practices, and new developments in assigned work areas
- Respond to client questions and comments in a courteous and timely manner
- Adjust claims associated with complex litigation and other sensitive issues
- Provide regular property work progress reports to clients and carriers
- Use standard or customized software applications appropriate to assigned tasks
- Potential travel will be required for claim or scene investigations as necessary
- Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together
- Perform other duties as assigned
Experience and Qualifications
Required
- 5+ years of experience handling multiple lines of coverage including but not limited to auto liability, general liability, bodily injury, heavy equipment, property damage, E&O, and police liability
- Hold an active Adjuster License as needed
- Maintain CEU credits for state licenses required to perform duties of the position
- Conduct investigations in multi-party situations
- Previous experience with negotiating and settling of claims (TPA)
- Proficiency in Excel
- Thorough knowledge
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