Davies North America

Global insurance professional services and tech

TPA Casualty Transportation Adjuster

Claims AdjudicationUpdated on Nov 13

Full-time$60k - $75k /yrRemote

About the Job

Requirements

A minimum of four years of bodily injury experience is required.
A multi-line adjuster's license is required.
Experience as a casualty adjuster is required.
Proficiency in Microsoft Office software and other business-related software is required.
Ability to type reports and other correspondence is required.
Ability to evaluate, investigate, and settle bodily injury claims related to auto accidents, including knowledge of liability, coverage, bodily injury, and medical review.
Strong verbal and written communication skills are required.
Ability to manage time, meet deadlines, multitask, prioritize, and stay organized in a dynamic work environment is required.
Strong interpersonal, negotiation, attention-to-detail, and problem-solving skills are required.
Ability to work collaboratively and independently with minimal supervision is required.
Ability to exercise discretion with sensitive and confidential information is required.

Responsibilities

Establish timely contact with applicable parties to a claim, including insureds, claimants, and attorneys, and gather facts about the loss.
Confirm claim coverage by reviewing policies and documents.
Participate in review and discussion of large-loss activity with interested stakeholders.
Assess coverage and identify and address potential coverage issues.
Determine liability for third-party claims.
Document information obtained regarding damages.
Manage assignment of claim damage for inspection.
Handle and settle assigned bodily injury, property damage, and litigated claims.
Review claim tenders and accept or reject them.
Oversee field assignments to ensure timely inspection, documentation, and loss estimates.
Maintain file notes and correspondence while performing multiple tasks in a fast-paced environment.
Maintain the claim diary for the life of each claim.
Follow client guidelines and claims expectations.
Assess claim validity, review policy coverage, determine liability, coverage, injury exposure, and settlement, and conduct thorough investigations by gathering necessary information and documentation.
Work with claimants, policyholders, and other stakeholders to negotiate and settle claims fairly and promptly.
Assess the extent of injuries or damages, estimate costs, and negotiate settlements within established authority levels.
Collaborate with legal counsel, medical professionals, and other experts as needed to evaluate and resolve claims accurately.

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.

Davies North America is experiencing rapid growth and is looking for an experienced TPA Casualty Bodily Injury Adjuster to join our team. As an Adjuster in this role, you will be responsible for evaluating, investigating, and settling bodily injury claims related to auto accidents. This position requires a minimum of four years experience handling, specifically in the areas of liability, coverage, bodily injury and medical review.

In this role, you will utilize your extensive knowledge and expertise in auto claims to assess the validity of claims, review policy coverage, and determine liability, coverage and injury expsoure and setttlement. You will conduct thorough investigations, gathering all necessary information and documentation, and work closely with claimants, policyholders, and other stakeholders to negotiate and settle claims in a fair and timely manner. Your excellent analytical skills will be crucial as you assess the extent of injuries or damages, estimate costs, and negotiate settlements within established authority levels. Additionally, you will collaborate with legal counsel, medical professionals, and other experts as needed to ensure accurate evaluation and resolution of claims.

This position requires strong attention to detail, excellent communication and negotiation skills, and the ability to work independently while managing a high-volume caseload.

Establish timely contact with all applicable parties to a claim (insureds, claimants, attorneys, etc.) and gather facts of the loss
Confirm coverage of claims by reviewing policies and documents
Participate in review and discussion of large loss activity with interested stakeholders
Assess coverage, identifying and addressing potential coverage issues
Determine liability for third party claims
Document information obtained regarding damages
Manage the assignment of claim damage for inspection
Handle and settle all assigned bodily injury, property damage and litigated claims
Review and accept/reject and make claim tenders
Oversee the field assignment to assure timely inspection, documentation, estimate of the loss
Maintain files notes and correspondence while performing multiple tasks associated with a fast-paced environment
Maintain claim diary for life of claim
Adhere to all guidelines and claims expectations of client

All other duties as assigned

Required

Minimum of 4 years bodily injury experience required
Multi-line Adjuster's license
Experience as a Casualty Adjuster
Proficient in use of Microsoft Office software and other business-related software
Able to type own reports and other correspondence

Knowledge, Skills, and Abilities

Proactive, independent, and takes initiative
Superb communication skills, verbal and written
Superior time management skills with capability of working with and meeting deadlines
Exceptional capability to multi-task and prioritize with excellent organization skills in a dynamic work environment
Excellent interpersonal skills with good negotiation tactics
High level attention to detail and problem-solving skills
Capable of working collaboratively and independently with minimal supervision
Exhibit discretion with sensitive and confidential information
Display a comfort level working with key people at all levels within an organization

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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