Description
We are seeking an experienced Commercial Property Claims Adjuster to join our team. As a Commercial Property Claims Adjuster at Davies North America, you will be responsible for the end-to-end management of Commercial Property Claims primarily for single insurer specialty programs.
Key Responsibilities
- Determine, evaluate, investigate, negotiate, and resolve single insurer property claims in accordance with legal, regulatory, and internal standards.
- Verify coverage under the applicable Commercial Property insurance policy.
- Coordinate with field adjusters and experts for inspections or further investigation.
- Review supporting documentation submitted for the claims and properly note the details of the review within the file.
- Analyze damage estimates and repair costs as well as review vendor invoices for accuracy.
- Identify potential issues such as fraud, duplicate claims, or policy exclusions.
- Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated.
- Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters.
- Handle appeals or disputes related to claim decisions.
- Attend mediations and settlement conferences as necessary.
- Direct and monitor defense counsel to settle litigated claims.
- Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected.
- Present and explain claim overviews to business partners on a monthly basis.
- Participate in audits and quality control reviews.
- Stay updated on industry trends, policy changes, and best practices.
Skills, Knowledge & Expertise
- Understand the role of Third-Party Administration in claims management.
- Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs.
- Ability to plan, organize, and establish priorities to maintain various responsibilities under critical deadlines.
- Ability to review and interpret routine and complex policy contracts and coverage.
- Ability to review and interpret estimates.
- Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.
- Ability to prepare detailed reports and recommendations to clients.
- Ability to analyze and research legal and claim trends.
- Possess sound analytical and negotiation skills.
Essential Requirements
- Bachelor’s Degree from a four-year college or university or at least one to two years related experience and/or training; or equivalent combination of education and experience.
- Comprehensive knowledge of Commercial Property claims investigation techniques and Settlement.
- Moderate skills in Microsoft Suite – especially Excel and Word.
- Must speak English (Additional language is beneficial).
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.