P & C adjuster (Bodily Injury) (DCNA) bei Davies
Davies · Home, Vereinigte Staaten Von Amerika · Remote
- Professional
 
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 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 ensure your health and that of your family.
 - A 401k plan with employer matching to help you build a secure financial future.
 - Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
 - Paid holidays.
 - Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.