Senior Claim Adjuster

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 of current principles and practices associated with claims investigations, adjustment, and related practices
• Understand and follow oral and/or written policies, procedures, and instructions
• Capable of understanding multi-state laws and regulations to assist other offices, as necessary
• Extensive knowledge of medical and legal terminology with a thorough understanding of legal principles and litigation management
• Exhibit a strong ability to prepare and present accurate, reliable, and factual reports with recommendations
• Maintain thorough knowledge of current principles and practices associated with claims investigations, adjustment, and related practices
• Demonstrate capability to use standard or customized software applications appropriate to assigned tasks
• Possess ability and willingness to learn quickly and utilize new skills resulting from rapidly changing information and/or technology

Preferred

• Bachelor’s degree in business or another related field
• Tennessee-based
• Multi-state licensure

Knowledge, Skills, and Abilities

• Proactive, independent, and takes initiative with consistent follow through
• Superb communication skills, verbal and written, conducted in a timely manner
• Superior time management skills with capability of working with and meeting deadlines
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
• Excellent team player with interpersonal skills
• High level attention to detail and problem-solving skills
• Capable of working collaboratively and independently with minimal supervision
• Exhibit discretion with sensitive and confidential information
• Display a comfort level working with key people at all levels within an organization

Essential Requirements

• Must have US work rights
• Must speak English
• 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 of current principles and practices associated with claims investigations, adjustment, and related practices
• Understand and follow oral and/or written policies, procedures, and instructions
• Capable of understanding multi-state laws and regulations to assist other offices, as necessary
• Extensive knowledge of medical and legal terminology with a thorough understanding of legal principles and litigation management
• Exhibit a strong ability to prepare and present accurate, reliable, and factual reports with recommendations
• Maintain thorough knowledge of current principles and practices associated with claims investigations, adjustment, and related practices
• Demonstrate capability to use standard or customized software applications appropriate to assigned tasks
• Possess ability and willingness to learn quickly and utilize new skills resulting from rapidly changing information and/or technology

Other Duties

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the individual for this job and is subject to change with or without notice.

Diversity and Inclusion

Davies is committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).

Rewards and Recognition

We embrace innovation and run an annual competition available for all colleagues to submit their ideas. The top finalists travel to the current year’s competition site where they pitch their ideas to our investors. The winner receives funding to bring their idea to life and the runners up receive a reward for their involvement. Some of our teammates have moved across into brand new positions to further develop their ideas/projects!

Benefits

• Efficiency Bonus Structure
• Medical, dental, and vision plans
• 401k plan with employer matching
• Paid Time Off, Sick Leave, and Paid Holidays
• Life insurance, short term, and long-term disability plans
• Amazing Executive and Senior leadership as well as fabulous teammates

Position Type, Work Environment and Physical Demands

This is a home-based, full time, salaried, exempt position that predominantly operates remotely from a professional home-based office environment routinely using standard office equipment such as computers, phones, printers, photocopiers, and scanners and requires prolonged periods of sitting at a desk while working on a computer. While performing the duties of this job, the individual will be required to regularly hear and talk. This is a largely sedentary role requiring the ability to sit at a desk, reach outward, use a phone, have use of fingers to operate office equipment such as a keyboard, mouse, phone, printer, copier, and to reach above the head, bend, or stand, as necessary.

Location

Davies Claims Solutions is currently able to support employees residing in the following US locations: AL, AR, CA, FL, GA, IA, ID, IL, IN, KY, LA, MA, MI, MS, MT, NC, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, VT, WA, WI, WV. If you live in—or are willing to relocate at your own expense to—any of the listed locations, we look forward to your application! If there is a required or preferred location for an open role, it will be listed in the job description. Should your state not be listed, please visit https://davies-group.com/location/ to locate a subsidiary near you.

Application Information

Application deadline: March 14, 2024