[Hiring] P&C Bodily Injury 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 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.

Qualifications

• 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 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.