P & C adjuster (Bodily Injury) (DCNA)

Bodily Injury Adjuster

Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. 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

Responsibilities include :

• 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

Skills include :

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes :

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.

About Davies

We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses. We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.