P&C Bodily Injury Adjuster

Davies • Home, WV

17d • $65,000 - $75,000 • Remote

About The Position

Davies North America is seeking a Bodily Injury Adjuster to handle third-party General Liability, Auto Liability, Errors and Omissions, and Law Enforcement claims involving bodily injury, personal injury, or wrongdoing. This is a full-time, home-based role that may require travel to client locations for claim meetings, to seminars for continuing education credits, and to claim scenes for investigations or inspections. The role reports to the P&C Liability Supervisor.

Requirements

• College degree or equivalent experience.
• Possession of an adjuster license.
• Maintain CEU credits required for the adjuster license.
• Excellent knowledge of tort law, bad-faith procedures and case law, liability principles, and medical terminology.
• Previous experience settling bodily injury claims.
• Proficiency with Microsoft Office Suite.
• Proactive, independent, dependable, and able to take initiative with consistent follow-through.
• Excellent written and verbal communication skills, including timely communication with diverse audiences.
• Strong time-management skills and ability to meet deadlines.
• Ability to multitask and prioritize, with excellent organization and documentation skills in a fast-paced work environment.
• Strong attention to detail and decision-making and problem-solving skills.
• Ability to work collaboratively and independently with minimal supervision.
• Ability to exercise discretion with sensitive and confidential information.

Responsibilities

• Perform all duties outlined in the Property Damage Adjuster Job Description.
• Review workflow and claim-system reminders daily and make significant progress on 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 estimates according to client guidelines or approval.
• Evaluate whether estimates or appraisals are appropriate based on reported damages and other evidence.
• Gather evidence of damages.
• Interview or obtain recorded statements from claimants, insureds, and witnesses.
• Request payment authorization according to client guidelines and company policies and procedures.
• Follow client guidelines when denying claims.
• Obtain internal investigation reports from the insured client when permitted.
• Communicate professionally and promptly with the client.
• Determine the degree of attorney involvement, if any.
• Handle claims in good faith from opening through closure.
• Set claim-system reminders for necessary follow-up within appropriate time frames.
• Accurately record claim-related communications and activities in system notes.
• Image relevant documents, including email, according to procedures.
• Meet continuing-education requirements for adjuster licensure.
• Maintain a 95% claim closure ratio.
• Report qualifying claims to the excess carrier, including providing status reports.
• Immediately notify the supervisor and client of any Summons and Complaint received, identify assigned defense counsel, and communicate and cooperate with counsel.
• Obtain status reports from defense counsel every 90 days.
• Read and understand the excess carrier insurance policy.
• Run ISO ClaimSearch on injured claimants.
• Determine the injury status of all people 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 required information into the claim system to support mandatory Medicare reporting.
• 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.
• Review field adjuster reports for thoroughness and accuracy.
• Maintain regular and dependable attendance and be available to perform job responsibilities during established work hours.

Benefits

• Medical, dental, and vision plans.
• 401(k) plan with employer matching.
• Discretionary Time Off for exempt employees and Paid Time Off for non-exempt employees.
• Paid holidays.
• Life insurance.
• Short-term and long-term disability coverage.
• Paid sick leave, paid family and parental leave, and other mandated benefits where required by applicable law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree