Liability Senior Claims Specialist

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.

As part of Davies Specialty Programs, PGCS specializes in Third Party Claims Administration for Workers’ Compensation and Liability claims.

We pride ourselves on our friendly, team-orientated work environment. Our energetic team, supportive leaders, and can-do attitude enhance a sense of collaboration and belonging in our teammates.

Our focus is on quality, professional, superior service. This service-driven philosophy, conveyed throughout the organization, means we operate with the customers’ best interests at heart, constantly reinforcing our mission Service Beyond the Contract.

Are you looking for a company that is Dynamic and Innovative where the teammates are Connected and Succeed Together? If so, Davies may just be the right choice for you.

Job Overview

PGCS, part of Davies Specialty Programs, is looking for a Senior Liability Claims Adjuster to administer all lines of liability claims for self-insured and public entity accounts pursuant to company and state regulations.

Reporting to the Liability Claims Supervisor, you will be responsible for the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves as well as the prompt, accurate investigation of liability claims.

Opportunity to work from home.

Responsibilities and Duties :

• Analyze claims exposures, determining the proper courses of action and appropriately settling claims.
• Conduct prompt, accurate investigations of liability claims, interview all relevant parties to obtain loss events facts and to establish liability;

handling claims files to final resolutions.

Develop settlement / litigation / defense strategies by evaluating factual information to settle claims in a cost-effective manner;

work with defense attorneys and clients per account handling guidelines.

• Handle claims consistent with best practices, client and company policies and procedures and also in accordance with statutory, regulatory and ethical requirements.
• Document and communicate all claim activity timely and effectively, supporting the outcome of claim files, maintain a progressive plan of action.
• Effectively handle subrogation on liability claims.
• Examine and addressing claim files reserves for accuracy.
• Prepare for and assuming a lead role in collaboration with defense counsel during mediations, arbitrations and trials.
• Produce and review prepared and on-demand claims and status reports with clients.
• Perform other duties as needed.

Experience and Qualifications

• A minimum of five years in a liability claims handling environment (FL)
• General liability, auto liability, bodily injury, complex and professional liability claims experience required.
• Active Florida All-Lines Adjuster License and / or as required by any other state in which handling claims.
• Experience to effectively handle mediations, claim reviews, status meetings with clients on a regular basis.

Knowledge, Skills and Abilities

• Extensive knowledge of accepted industry standards and practices.
• Ability to successfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation.

Strong negotiation skills.

• Must be self-directed and able to work independently.
• Willing to travel for mediations, to accounts for status reporting, to accident scenes or loss locations for investigation purposes, as necessary.
• Ability to effectively operate a personal computer and related claims and business software.
• Good communication skills, both oral and written.
• Excellent customer service skills.
• Assertive self-starter with excellent organizational skills. Team player. Good attendance.

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

• 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 leadership and 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.

Application Information

Application deadline : September 10, 2024

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