claim adjuster

DAVIES

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><b><br>
Our Story</b></div><div>
Imagine being part of a team that&rsquo;s not just shaping the future but actively driving it. At <b>Davies North America</b>, we&rsquo;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.</div><div>
<br>
We're on the lookout for a Senior Workers&rsquo; Compensation Adjuster to join our growing team in Florida! As a Senior Workers&rsquo; Compensation Adjuster, you will investigate assigned Florida Workers&rsquo; Compensation claims, evaluate claim detail, including Florida Statute and case law, to determine compensability and total value of the claim while setting appropriate reserves. You will also provide benefits and initiate state filings promptly while exercising discretion and independent judgement.</div><h3 class="jobSectionHeader"><b><br>
Key Responsibilities</b></h3><br>
<ul>
<li>
Evaluate claim detail, including Florida Statute and case law, to determine compensability and total value of the claim; set and adjust reserve accordingly</li>
<li>Initiate investigation and assign defense counsel when appropriate</li>
<li>Initiate accurate indemnity payments in a timely manner and maintain diary for ongoing payments</li>
<li>Timely proper completion of State filings</li>
<li>Handle EDI filings and rejections in conjunction with EDI adjuster</li>
<li>Monitor medical treatment in conjunction with assigned Nurse Case Manager</li>
<li>Review, document, and approve medical bills for payment within three days of receipt</li>
<li>Authorize appropriate medical services as outlined per Florida Statute 440.13</li>
<li>Determine whether vocational rehabilitation services are needed for an employee to return to work</li>
<li>Coordinate light duty availability and reasonable accommodations with medical providers and employers</li>
<li>Maintain adequate reserves for life of claim utilizing reserve worksheets, ODG Guidelines, Workers&rsquo; Computation software and Davies Claims North America reserving philosophy</li>
<li>Attend client meetings as necessary, and maintain regular telephone contact to ensure client satisfaction</li>
<li>Maintain diary and workflow requirements</li>
<li>Maintain working knowledge of FL Workers&rsquo; Compensation Statutes and Rules, and their application</li>
<li>Direct defense counsel in handling of litigation claims with defense input, make timely decisions regarding litigated issues</li>
<li>Protect Medicare&rsquo;s interest in conjunction with MMSEA Section 111 Reporting requirements</li>
<li>Review claims for possible red flags</li>
<li>Demonstrate capability of identifying and pursuing subrogation, contribution, indemnification, or other opportunities to compel responsible third parties to bear their share of the settlement burden</li>
<li>Request reimbursement at least quarterly and follow up for timely receipt from excess carrier(s)</li>
<li>Adhere to client profile instructions</li>
<li>Report any overall account or client concerns to the supervisor or upper management</li>
<li>Report any E&amp;O concerns to the QA Manager and Executive Vice President</li>
<li>Maintain 97% claim closure ratio</li></ul><br>
<h3 class="jobSectionHeader"><b>
Skills, knowledge &amp; expertise</b></h3><br>
<ul>
<li>
College degree</li>
<li>Multiple years&rsquo; experience handling several types of claims</li>
<li>Presumption claims handling experience</li>
<li>Experience with depositions, mediations, and litigation</li>
<li>Experience with IDatix, Reference Books-Periodicals, Workers Computation, ISO, ShoreTel</li>
<li>3-5 years of Lost Time/Legal claims handling experience; preferred 5+ years</li>
<li>Possess FL-All Lines Adjuster or Workers&rsquo; Compensation License and maintain CEU credits for license</li>
<li>Previous experience with settling claims</li>
<li>Experience with Microsoft Office Suite</li>
<li>Proactive, independent, and takes initiative with consistent follow through</li>
<li>Superb communication skills, verbal and written, conducted in a timely manner</li>
<li>Superior time management skills with capability of working with and meeting deadlines</li>
<li>Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment</li>
<li>Excellent team player with interpersonal skills</li>
<li>High level attention to detail and problem-solving skills</li>
<li>Capable of working collaboratively and independently with minimal supervision</li>
<li>Exhibit discretion with sensitive and confidential information</li>
<li>Display a comfort level working with key people at all levels within an organization</li></ul><br>
<h3 class="jobSectionHeader"><b>
Equal Employment Opportunity &amp; Legal Notices</b></h3><div><b><br>
Benefits</b></div><div>
At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:</div><ul>
<li>Medical, dental, and vision plans to support your health and that of your family</li>
<li>A 401(k) plan with employer matching</li>
<li>Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees</li>
<li>Paid holidays</li>
<li>Life insurance and short‑term and long‑term disability coverage</li>
</ul><div>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&rsquo;s primary work location.<br>
</div><div>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.<br>
</div><div><b>Diversity and Inclusion</b></div><div>
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.<br>
<br>
<b>Compensation Transparency:</b>
<br>
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
<br>
<br>
<b>Background Check &amp; Fair Chance Compliance</b>
</div><div>Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.<br>
<br>
<b>Massachusetts Notice</b><br>
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.</div><div>
<br>
<i>We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at </i><i>recruitment@davies-group.com</i></div><br>
<h3 class="jobSectionHeader"><b>
About Davies</b></h3><div>
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.<br>
<br>
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 &amp; risk, customer experience, human capital, digital transformation &amp; change management.<br>
<br>
Our global team of more than 8,000 professionals operate across ten countries, including the UK &amp; the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research &amp; development, innovation &amp; automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.</div></div>

Senior WC Claim Adjuster

Merchants Mutual Insurance

<div><p><b>Auto Physical Damage Claim Adjuster
</b></p><p><b>Hybrid Work Schedule</b></p>
<p><b>
Buffalo, New York</b></p><br>
<p>
</p><p>Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for an Auto Physical Damage Claim Adjuster (APD) to join our Corporate Claims team located in Buffalo, New York.</p>
<p>
The APD Claim Adjuster will become part of a dedicated claims team focusing on Auto Physical Damage claims. This position interacts extensively with internal colleagues as well as policyholders, agents, attorneys, appraisers, auto repair facilities and a multitude of claim-related service providers.</p>
<p>
Merchants Insurance Group, rated A- (Excellent) with a stable outlook by the A.M. Best Company, is proud to be one of <i>Buffalo Business First</i>&rsquo;s Best Places to Work in Western New York (2023-2025), a Fast Track company (2019-2025), and a Top Private Company (2019-2025). Merchants was also granted the Ward&rsquo;s 50&reg; designation as a top-performing property-casualty insurance company for four consecutive years (2021-2024) and has been granted the Ivans Spark Award for innovation (2024-2025). In October 2024, <i>Newsweek </i>and Statista included Merchants Insurance Group on their first-ever America&rsquo;s Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list.</p>
<p>
Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 2 full days per week in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues.</p><br>
<p></p>
<p><b>
Essential Duties and Responsibilities include, but are not limited to:</b></p>
<ul>
<li>Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for Merchants and our policyholders.</li>
<li>Providing a high level of customer service while managing a portfolio of Auto Physical damage claims.</li>
<li>Conducting and directing timely and quality claim investigations, evaluations and equitable settlements of all assigned claims.</li>
<li>Ensuring timely and accurate reserves consistent with established reserving philosophy and practices.</li></ul><br>
<p></p>
<p><b>
Qualifications &amp; Skills:</b></p>
<ul>
<li>Qualified candidates will have a 4-year degree or equivalent work-related experience.</li>
<li>Minimum of 1 year of experience in handling coverage and liability investigations for auto physical damage claims.</li>
<li>Total Loss experience is a plus.</li>
<li>Exceptional organizational, verbal and written communication skills are required.</li>
<li>Computer experience including Microsoft office experience.</li>
<li>ImageRight knowledge is a plus.</li>
<li>Excellent customer service skills.</li>
<li>Professional designations or working towards industry specific designations are a plus.</li>
<li>Must obtain any required State licensing within 6 months of hire.</li></ul><br>
<p></p><p><b>Merchants Insurance Group Pay information:</b></p>
<p>
Merchants Insurance Group offers a competitive pay scale. The estimated salary for this role ranges from $25.00 &ndash; $33.00 hourly based on leveling and geography, along with an equity component and a comprehensive benefits package. This range is merely an estimate; actual compensation may deviate from this range based on skills, experience and qualifications.</p><br>
<p></p>
<p><b>
Merchants Insurance Group Benefits:</b></p>
<ul>
<li>Welcoming and positive work environment.</li>
<li>Colleague Appreciation events.</li>
<li>Flexible work arrangements, including flex scheduling and summer hours.</li>
<li>Hybrid work schedule. The Hybrid work schedule will require 2 full days per week in the office, with the option to work the remaining days per month at home or in the office</li>
<li>Flexible work arrangements, including flex scheduling and summer hours.</li>
<li>Competitive pay scale.</li>
<li>Generous paid time off package.</li>
<li>Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars.</li>
<li>Outstanding company bonus program.</li>
<li>Tuition Reimbursement.</li></ul><br>
<p></p>
<p>
And many more exciting company benefits!!</p><br>
<p></p>
<p><i>
Merchants Insurance Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Merchants Insurance Group supports a safe workplace through pre-employment background screenings.</i></p></div><p></p>

Auto Physical Damage Claim Adjuster

Gallagher

<div><b>Introduction</b><br>
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div><br>
<b>Overview</b><div><b><br>
Role specifics:</b></div><ul><li><b>
Jurisdictions: </b>Any</li><li><b>
Licenses:</b> Any</li><li><b>
Location: </b>This role is eligible for fully remote work</li></ul>
<br>
<b>How you'll make an impact</b><br>
<ul><li>
Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.<br>
</li><li>
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.<br>
</li><li>
Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process<br>
</li><li>
Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.<br>
</li><li>
Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.</li></ul>
<br>
<b>About You</b><div><b><br>
Potential candidates should have the following:</b></div><ul><li><b>
Claims Background:</b> General Liability<br>
</li><li><b>
Jurisdictional Experience: </b>Any<br>
</li><li><b>
Active Adjusters' licenses:</b> Any</li></ul><div>
 <b>As a key member of our Claims Adjuster team, you will:</b></div><ul><li>
Investigate, evaluate, and resolve moderate General Liability claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.<br>
</li><li>
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process<br>
</li><li>
Think critically, solve problems, plan, and prioritize activities to optimally serve clients</li></ul><p>
 <b>R</b><b>equired Qualifications</b><b>:</b></p><ul><li>
High School Diploma.<br>
</li><li>
Minimum of 5 years related claims experience.<br>
</li><li>
Appropriate licensing and/or certification in all states in which claims are being handled.<br>
</li><li>
Knowledge of accepted industry standards and practices.<br>
</li><li>
Computer experience with related claims and business software.</li></ul><div><b>
D</b><b>esired</b><b>:</b></div><ul><li>
Bachelor's Degree.</li><li>
Retail &amp; Grocery experience preferred.</li></ul><div>
#LI- WG1</div><div>
#LI-Remote</div><br>
<br>
<b>Compensation and benefits</b><p><br>
We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
</p><p>Below are the <b>minimum core benefits</b> you&rsquo;ll get, depending on your job level these benefits may improve:
</p><ul><li>Medical/dental/vision plans, which start from day one!</li><li>
Life and accident insurance</li><li>
401(K) and Roth options</li><li>
Tax-advantaged accounts (HSA, FSA)</li><li>
Educational expense reimbursement</li><li>
Paid parental leave</li></ul><div><b>
Other benefits include:</b></div><ul><li>
Digital mental health services (Talkspace)</li><li>
Flexible work hours (availability varies by office and job function)</li><li>
Training programs</li><li>
Gallagher Thrive program &ndash; elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing</li><li>
Charitable matching gift program</li><li>
And more...</li></ul><div><i>
**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.</i></div><div></div><div><b><br>
We value inclusion and diversity</b></div><p>
Click Here to review our U.S. Eligibility Requirements</p><p>
Inclusion and diversity (I&amp;D) is a core part of our business, and it&rsquo;s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
</p><p>Gallagher embraces our employees&rsquo; diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.</p><p>
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as &ldquo;protected characteristics&rdquo;) by applicable federal, state, or local laws.
</p><p>Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.</p></div>

Senior General Liability Claim Adjuster- Retail & Grocery

EMA Risk Services

<p><b>EMA Risk Services is a third-party administrator handling transportation claims. We are looking to hire in our Phoenix, AZ office - as well as our San Antonio, TX office.</b></p><p><b>We&rsquo;re looking for a Bodily Injury Claims Adjuster who is confident investigating, evaluating, and negotiating BI claims&mdash;while communicating professionally with policyholders, claimants, attorneys, and medical providers to drive appropriate resolutions.</b></p><p><b>What You&rsquo;ll Do</b></p><p><b>&middot; Investigate, evaluate, and negotiate bodily injury claims from start to resolution</b></p><p><b>&middot; Communicate directly with policyholders, claimants, attorneys, and medical professionals</b></p><p><b>&middot; Apply insurance principles and regulatory knowledge to support proper claim handling</b></p><p><b>&middot; Maintain clear documentation and organized claim files</b></p><p><b>Qualifications</b></p><p><b>&middot; Excellent communication and negotiation skills</b></p><p><b>&middot; Strong attention to detail and analytical abilities</b></p><p><b>&middot; Knowledge of insurance principles and regulations</b></p><p><b>&middot; Bodily injury claims experience preferred</b></p><p><b>&middot; Ability to work independently and as part of a team</b></p><p><b>Compensation &amp; Benefits</b></p><p><b>&middot; Competitive pay</b></p><p><b>&middot; Full benefits</b></p><p><b>&middot; Retirement</b></p><p>Benefits:</p><ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Bodily Injury Claims Adjuster

AAA Auto Club Enterprises

Job Summary
<br><br>
The Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, negotiation strategies and claims resolution of moderate to high complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Under general supervision, works within specific limits of authority to resolve claims.
<br><br>
Job Duties
<br><br>
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
<br><br>
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage issues.
<br><br>
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
<br><br>
Negotiate within settlement authority with insureds and claimants to resolve first and third party claims.
<br><br>
Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
<br><br>
Control expenses for areas of responsibility.
<br><br>
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
<br><br>
Respond quickly to customer needs and problems.
<br><br>
Independently resolve claims within authority level.
<br><br>
Qualifications
<br><br>
Bachelors Equivalent combination of education and experience Preferred
<br><br>
7-9 years Prior claims handling experience. Preferred
<br><br>
4-6 years Property, Auto, Casualty or relevant claims administration experience. Required
<br><br>
Comprehensive knowledge of claims administration best practices and procedures.
<br><br>
Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required.
<br><br>
Comprehensive understanding of building and vehicle repair procedures and third-party liability issues.
<br><br>
Advanced knowledge of Microsoft Office suite, general computer software and claims software.
<br><br>
Advanced organization and planning recognition skills required.
<br><br>
Advanced oral and written communication skills required.
<br><br>
Advanced interpersonal skills required.
<br><br>
Advanced leadership skills among peers required.
<br><br>
Exhibit proficiency and understanding of medical terminology and causality
<br><br>
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
<br><br>
Chartered Property Casualty Underwriter - Insurance Institute of America Preferred
<br><br>
Associate in Claims - Insurance Institute of America Preferred
<br><br>
An insurance/claims adjuster license may be required for claims administration in specific states.
<br><br>
Travel Requirements
<br><br>
Occasional travel to business meetings or conferences.
<br><br>
<b>The starting pay range for this position is:</b><br>
$38.64 - $51.46
<br>Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
<br>.
<br><br>
<b>Remarkable benefits:</b><br>
<ul>
<li>Health coverage for medical, dental, vision</li>
<li>401(K) saving plans with company match AND Pension</li>
<li>Tuition assistance</li>
<li>Floating holidays and PTO for community volunteer programs</li>
<li>Paid parental leave</li>
<li>Wellness programs</li>
<li>Employee discounts (membership, insurance,</li>
</ul>
travel, entertainment, services and more!)
<br><br>
Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
<br><br>
“Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
<br><br>
AAA is an Equal Opportunity Employer
<br><br>
Our organization participates in E-Verify
<br><br>
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).

Claims Senior Casualty Adjuster

Superior Underwriters

<div><p>Superior Underwriters is a respected leader in the insurance industry, dedicated to providing exceptional claims handling and customer service. We are seeking an experienced Bilingual Bodily Injury (BI) Adjuster to join our team and manage injury-related claims with efficiency, fairness, and professionalism.</p>
<p>The Bilingual BI Adjuster will be responsible for investigating, evaluating, and resolving bodily injury claims arising from auto accidents and other covered incidents. This role requires a strong understanding of liability assessment, medical evaluations, policy interpretation, and negotiation techniques. The adjuster will work closely with claimants, attorneys, medical providers, and internal teams to ensure proper claim resolution.</p>
<p>Key Responsibilities:</p>
<ul><li>Investigate and analyze bodily injury claims to determine coverage, liability, and damages.</li>
<li>Review medical records, accident reports, and legal documents to assess injury severity and claim value.</li>
<li>Communicate with claimants, attorneys, and medical professionals to gather information and facilitate settlements.</li>
<li>Evaluate and negotiate settlements in accordance with company policies and industry&rsquo;s best practices.</li>
<li>Maintain accurate and detailed claim documentation.</li>
<li>Stay current with relevant state and federal laws, regulations, and industry trends.</li>
<li>Collaborate with internal departments, including underwriting and legal, to ensure thorough claims handling.</li>
</ul>
<p>Qualifications &amp; Requirements</p>
<ul><li>Experience: Minimum 2-4 years of experience handling bodily injury claims.</li>
<li>Education: Bachelor's degree preferred; equivalent work experience considered.</li>
<li>Licensing: Adjusters License in the state of Nevada.</li>
<li>Skills:</li>
<li>Strong analytical and investigative skills.</li>
<li>Excellent negotiation and communication abilities.</li>
<li>Proficiency in claims management software and Microsoft Office Suite.</li>
<li>Knowledge of medical terminology, legal principles, and insurance policies related to bodily injury claims.</li></ul></div><p></p>

BI Adjuster

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><b><br>
Our Story</b></div><div>
Imagine being part of a team that&rsquo;s not just shaping the future but actively driving it. At <b>Davies North America</b>, we&rsquo;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.</div><div>
<br>
We're on the lookout for a <b>Bodily Injury Adjuster</b> 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.</div><h3 class="jobSectionHeader"><b><br>
Key Responsibilities</b></h3><br>
<ul>
<li>
Perform all duties as outlined in the Property Damage Adjuster Job Description</li>
<li>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</li>
<li>Review of new claims assignments within 24 hours of assignment/Completion of the Plan of Action</li>
<li>Contact with the insured/claimant within 24 hours of assignment</li>
<li>Assign appraisers or coordinate the receipt of estimates of damage according to client guidelines or approval</li>
<li>Determine if estimates or appraisals are appropriate based upon reported damages and other evidence</li>
<li>Gather evidence of damages</li>
<li>Interview or obtain recorded statements from the claimant, the Insured and any witnesses</li>
<li>Request payment authorization according to client guidelines and Davies Claims North America policy and procedures</li>
<li>Follow client guidelines for any claim denial</li>
<li>Obtain internal investigation reports from the insured (client) when permitted by the client</li>
<li>Professional and timely communication with the client</li>
<li>Determine degree of attorney involvement, if any</li>
<li>Always act with the utmost good faith in handling of the claim from beginning to closure</li>
<li>Set reminders within the claim system for necessary follow up in an appropriate time frame</li>
<li>Accurately record any communication, or activity relevant to the claim; in the claim system notes</li>
<li>Follow procedures to image documents sent to you that are relevant to the claim file (including e-mail)</li>
<li>Meet the requirements of Continuing Education as required for licensure as an adjuster</li>
<li>Maintain a 95% claim closure ratio</li>
<li>Report to the Excess carrier on any claim that meets the requirements to do so (including status reports)</li>
<li>Immediately notify your supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, communicate and cooperate with defense counsel</li>
<li>Obtain status reports from defense counsel at 90-day intervals</li>
<li>Read and Understand the Excess Carrier Insurance Policy</li>
<li>Run ISO ClaimSearch on injured claimants</li>
<li>Determine the injury status of all persons involved in a crash investigation</li>
<li>Interact with insurance adjusters from other companies to obtain information needed to process your claim</li>
<li>Respond to Reservation of Rights letters from Excess Carrier if necessary</li>
<li>Develop working knowledge of No Fault/PIP law</li>
<li>Enter necessary information into the claim system to ensure mandatory reporting to Medicare</li>
<li>Follow Davies Claims North America guidelines when settling claims involving a Medicare recipient</li>
<li>Check for the claimant&rsquo;s compliance with F.S. 768.28 Sovereign Immunity</li>
<li>Recommend/assign field adjuster as necessary</li>
<li>Review field adjuster reports for thoroughness and accuracy.</li></ul><div><br>
</div><br>
<h3 class="jobSectionHeader"><b>Skills, knowledge &amp; expertise</b></h3><br>
<ul>
<li>
College degree or equivalent experience</li>
<li>Possession of Adjuster license</li>
<li>Maintain CEU credits for Adjuster license</li>
<li>Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology</li>
<li>Previous experience with settling bodily injury claims</li>
<li>Proficiency with Microsoft Office Suite</li>
<li>Proactive, independent, dependable, and takes initiative with consistent follow through</li>
<li>Superb written and verbal communication skills conducted in a timely manner with diverse audiences</li>
<li>Superior time management skills with capability of working with and meeting deadlines</li>
<li>Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced work environment</li>
<li>High level attention to detail with ability to utilize decision making and problem-solving skills</li>
<li>Capable of working collaboratively and independently with minimal supervision</li>
<li>Exhibit discretion with sensitive and confidential information</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
Equal Employment Opportunity &amp; Legal Notices</b></h3><div><b><br>
Benefits</b></div><div>
At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:</div><ul>
<li>Medical, dental, and vision plans to support your health and that of your family</li>
<li>A 401(k) plan with employer matching</li>
<li>Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees</li>
<li>Paid holidays</li>
<li>Life insurance and short‑term and long‑term disability coverage</li>
</ul><div>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&rsquo;s primary work location.<br>
</div><div>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.<br>
</div><div><b>Diversity and Inclusion</b></div><div>
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.<br>
<br>
<b>Compensation Transparency:</b>
<br>
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
<br>
<br>
<b>Background Check &amp; Fair Chance Compliance</b>
</div><div>Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.<br>
<br>
<b>Massachusetts Notice</b><br>
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.</div><div>
<br>
<i>We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at </i><i>recruitment@davies-group.com</i></div><br>
<h3 class="jobSectionHeader"><b>
About Davies</b></h3><div>
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.<br>
<br>
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 &amp; risk, customer experience, human capital, digital transformation &amp; change management.<br>
<br>
Our global team of more than 8,000 professionals operate across ten countries, including the UK &amp; the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research &amp; development, innovation &amp; automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.</div></div>

P&C Bodily Injury Adjuster (DCNA)

Search 1060+ Claim adjuster jobs near you this May. New roles added regularly across leading industries. Apply today.