Davies North America

Global insurance professional services and tech

Senior Liability Claims Adjuster - Municipal Claims

Claims AdjudicationUpdated on Nov 13

Full-time$82k - $86k /yr

About the Job

Requirements

Hold an active Florida All-Lines Adjuster License (5-20 or 6-20).
Have at least five years of experience handling all aspects of liability claims and subrogation, with consistent high performance and achievement.
Have experience with general liability, auto liability, and complex and professional liability claims.
Have extensive knowledge of applicable statutes, accepted industry standards, and practices.
Be able to negotiate claims settlements and dispositions skillfully and interpret related documentation.
Be able to effectively operate a personal computer and related claims and business software.
Be able to attend and effectively participate in mediations, claim reviews, and client status meetings as necessary.
Be self-directed and able to work independently.
Have oral and written communication and customer service skills.
Have organizational skills and demonstrated experience managing complex, litigated, and high-severity claims.
Be willing to travel for mediations, client status reporting, or other meetings as necessary.

Responsibilities

Investigate, evaluate, negotiate, and resolve complex and high-exposure liability claims in accordance with company policies, client service standards, and regulatory requirements.
Handle commercial general liability, employer’s liability, professional liability, law enforcement liability, and other casualty or commercial liability exposures.
Investigate and determine coverage, liability, and damages; set appropriate reserves; identify insurance beyond the client’s retention; and provide timely initial and supplemental reporting to applicable carriers.
Conduct prompt and accurate investigations, interview relevant parties to establish facts and liability, and handle claims files through final resolution.
Analyze claim exposures, determine appropriate actions, and settle claims by evaluating evidence and applicable legal frameworks to determine liability and claim values.
Interact with parties involved in the claim process.
Develop settlement, litigation, and defense strategies based on factual information; work with defense attorneys and the client in accordance with account handling guidelines.
Handle claims according to best practices, client and company policies and procedures, and statutory, regulatory, and ethical requirements.
Document and communicate claim activity timely and effectively, and develop and maintain a progressive plan of action for claim files.
Use the system diary to keep claims files current.
Create, edit, and revise correspondence as necessary.
Identify, evaluate, and handle risk transfer on liability claims.
Identify and notify responsible third parties of potential exposures and follow up for reimbursement of amounts owed to clients.
Examine claim file reserves and address their accuracy.
Prepare for and take lead roles in collaboration with defense counsel during mediations, arbitrations, and trials.
Plan, organize, and negotiate claim resolutions in a timely and cost-efficient manner.
Produce and review prepared and on-demand claims and status reports with the client.
Maintain current knowledge of laws and statutes relevant to liability claims handling, and maintain continuing education units and licensing in current or active status as appropriate.
Perform other duties as assigned.

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.

What's in Store
We are on the lookout for a Liability Senior Claims Adjuster - (Municipal Claims) who will be responsible for investigating, evaluating, negotiating, and resolving complex and high exposure liability claims in accordance with company policies, client service standards, and regulatory requirements. Claims handled may include Commercial General Liability, Employer’s Liability, Professional Liability, Law Enforcement Liability, and other casualty or commercial liability exposures. This includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Identification of applicable insurance, beyond the client’s retention, and timely initial and supplemental reporting to applicable carriers is required.

This role is located remotely from home and services one client located in south Florida. You must hold a current FL license (6-20 or 5-20)

Conduct prompt, accurate investigations of liability claims, interview all relevant parties to obtain loss events facts and to establish liability; handle claims files to final resolutions.
Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values.
Interact extensively with various parties involved in the claim process,
Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client 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 which supports the outcome of claim files, in accordance with established procedures; develop and maintain a progressive plan of action.
Utilize a system diary system effectively and appropriately to keep claims files current.
Create, edit, and/or revise correspondence to other parties as necessary.
Effectively identify, evaluate, and handle risk transfer on liability claims.
Identify and notify responsible third parties of their potential exposures and follow up for reimbursement of amounts owed to clients.
Examine and address claim files reserves for accuracy.
Prepare for and assume lead roles in collaboration with defense counsel during mediations, arbitrations and trials.
Formulate problem-solving platforms to plan, organize and negotiate claim resolutions, timely and with maximum cost efficiency, for service to the client.
Produce and review prepared and on-demand claims and status reports with the client.
Maintain current knowledge of laws and statutes pertinent to liability claims handling, maintain CEUs and licensing in current and/or active status, as appropriate.
Perform other duties as assigned.

Active Florida All-Lines Adjuster License (5-20 or 6-20).
A minimum of five years handling all aspects of liability claims and subrogation with a consistent high level of performance and achievement.
General liability, auto liability, complex and professional liability claims experience required.
Willing to travel for mediations, to the client for status reporting, or other meetings, as necessary.
Experience handling all aspects of liability claims and subrogation.
Extensive knowledge of applicable statutes, accepted industry standards, and practices.
Ability to successfully and skillfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation.
Ability to effectively operate a personal computer and related claims and business software.
Must be able to attend and effectively participate in mediations, claim reviews, and status meetings with the client as necessary.
Must be self-directed and able to work independently.
Good communication skills, both oral and written; good customer service skills.
Assertive self-starter with excellent organizational skills. Fast and accurate. Team player. Good attendance.
Demonstrated experience managing complex, litigated, and high-severity claims.

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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