TPA Commercial Property Claims Examiner

Davies • Home, WV

3d • $70,000 - $85,000 • Remote

About The Position

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.

The Specialty Programs division of Davies North America is looking for an experienced Commercial Property Claims Examiner. Reporting to a manager, this role is responsible for end-to-end management of Commercial Property Claims. 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 position.

Requirements

• Bachelor’s Degree or at least 5 years related experience and/or training.
• Comprehensive knowledge of Commercial Property claims investigation techniques and Settlement
• Multi-State adjuster license preferred
• Understand the role of Third-Party Administration in claims management.
• Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs.
• Knowledge and understanding of quota share programs and the effective claims handling involved.
• Ability to prepare detailed reports and recommendations to clients.
• Ability to analyze and research legal and claim trends.
• 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, dynamic 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
• Display a comfort level working with key people at all levels within an organization
• Bilingual is beneficial

Nice To Haves

• AIC (Associate in Claims)
• CPCU (Chartered Property Casualty Underwriter)

Responsibilities

• Determine, evaluate, investigate, negotiate and resolve large exposure, multi-insurer quota share property claims in accordance with legal, regulatory and internal standards.
• 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.
• Participate in audits and quality control reviews.
• Stay updated on industry trends, policy changes, and best practices.

Benefits

• Medical, dental, and vision plans to ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level