[Hiring] Bodily Injury Claims Adjuster @Davies

Role Description

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 represented and unrepresented 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. Florida residency is highly preferred and you must have an active FL license.

Key Responsibilities

• Perform all duties as outlined in the company's Auto Property Damage/General Liability 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.
• Perform other duties as assigned.

Qualifications

• 2+ years of experience handling and settling bodily injury claims, including represented and unrepresented files (required).
• College degree or equivalent experience.
• Possession of a FL All Lines Adjuster license.
• Captive Program experience is highly preferred.
• Property experience is highly preferred.
• Maintain CEU credits for FL All Lines Adjuster license.
• Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology.
• 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 of working with and meeting deadlines.
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced work environment.
• High level attention to detail with ability to utilize decision making and problem-solving skills.
• Capable of working collaboratively and independently with minimal supervision.
• Exhibit discretion with sensitive and confidential information.

Benefits

• Medical, dental, and vision plans to support your health and that of your family.
• A 401(k) plan with employer matching.
• Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees.
• Paid holidays.
• Life insurance and short-term and long-term disability coverage.
• Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.
• Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.