Commercial Property Claims Adjuster

Davies • Home, WV

2d • $90,000 - $100,000 • Remote

About The Position

Davies North America is looking for an experienced Commercial Property Claims Adjuster. Reporting to the Commercial Property Claims Supervisor, this role is responsible for end-to-end management of Commercial Property Claims primarily for quota share and single insurer specialty programs. To be successful in this role, the candidate must be a results-oriented professional with strong organizational skills and the ability and desire to deliver quality claims service. This role is a full-time, home-based remote position.

Requirements

• 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

Responsibilities

• Determine, evaluate, investigate, negotiate and resolve quota share and 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.
• Other duties as assigned

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
• Paid sick leave
• Paid family and parental leave

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed