Davies North America

Global insurance professional services and tech

P&C Bodily Injury Adjuster

Claims AdjudicationUpdated on Nov 13

Full-timeAlabama, USA$65k - $75k /yr

About the Job

Requirements

A college degree or equivalent experience is required.
Possess an adjuster license and maintain the continuing education credits required for that license.
Have excellent knowledge of tort law, bad-faith procedures and case law, principles of liability, and medical terminology.
Have previous experience settling bodily injury claims.
Be proficient with Microsoft Office Suite.
Communicate professionally in writing and verbally with diverse audiences in a timely manner.
Manage time effectively and meet deadlines.
Multitask, prioritize, and maintain organization and documentation in a fast-paced work environment.
Apply attention to detail, decision-making, and problem-solving skills.
Work collaboratively and independently with minimal supervision.
Exercise discretion with sensitive and confidential information.

Responsibilities

Adjust third-party General Liability, Auto Liability, Errors and Omissions, and Law Enforcement claims involving bodily injury, personal injury, or wrongdoing.
Perform duties outlined in the Property Damage Adjuster Job Description.
Review workflow and claim-system reminders daily, following up and making significant progress toward completion of assigned tasks within 72 hours.
Review new claim assignments within 24 hours and complete a Plan of Action.
Contact the insured or claimant within 24 hours of assignment.
Assign appraisers or coordinate receipt of damage estimates in accordance with client guidelines or approvals.
Determine whether estimates or appraisals are appropriate based on reported damage and other evidence, and gather evidence of damages.
Interview or obtain recorded statements from claimants, insured parties, and witnesses.
Request payment authorization under client guidelines and company policies and procedures, and follow client guidelines for claim denials.
Obtain internal investigation reports from the insured client when permitted by the client.
Communicate professionally and promptly with the client.
Determine the degree of attorney involvement, if any, and act in good faith in handling claims from beginning to closure.
Set appropriate claim-system reminders for follow-up and accurately record claim-related communications and activities in claim notes.
Image documents relevant to the claim file, including email, in accordance with procedures.
Meet continuing education requirements for adjuster licensure.
Maintain a 95% claim closure ratio.
Report qualifying claims to the excess carrier, including status reports, and read and understand the excess carrier insurance policy.
Immediately notify the supervisor and client upon receipt of a Summons and Complaint, identify assigned defense counsel, and communicate and cooperate with defense counsel.
Obtain status reports from defense counsel at 90-day intervals.
Run ISO ClaimSearch on injured claimants and determine the injury status of everyone involved in a crash investigation.
Interact with adjusters from other insurance companies to obtain information needed to process claims.
Respond to excess-carrier Reservation of Rights letters when necessary.
Develop working knowledge of No Fault/PIP law.
Enter information into the claim system for mandatory Medicare reporting and follow company guidelines when settling claims involving Medicare recipients.
Check claimant compliance with F.S. 768.28 Sovereign Immunity.
Recommend or assign a field adjuster as necessary and review field adjuster reports for thoroughness and accuracy.

Our Story

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.

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.

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

About the Company

Davies North America

Global insurance professional services and tech

Davies North America is a global professional services and technology company that began in the UK as an insurance claims manager. It now provides technology, consulting, and legal solutions to clients in regulated industries, including insurance, through managed services, outsourcing, and advisory offerings. The company grows by acquiring other businesses to expand its geographic reach and service capabilities. Its goal is to become a global leader in professional services and technology for regulated industries, particularly in markets like the US, Canada, and Bermuda.

Company size: 5,001-10,000
Company stage: Debt Financing
Total funding: $363M
Headquarters: London, United Kingdom
Founded: 1968

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