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Commercial Property Claims Adjuster

Davies•Home, WV
•$100,000 - $110,000•Remote

About The Position

Davies North America is seeking an experienced Commercial Property Claims Adjuster to manage commercial property claims end to end, primarily for single-insurer specialty programs. Reporting to the Commercial Property Claims Supervisor, the adjuster is expected to deliver quality claims service and manage cases in accordance with legal, regulatory, and internal standards. This is a full-time, home-based position.

Requirements

  • Bachelor’s degree from a four-year college or university, or at least one to two years of related experience and/or training, or an equivalent combination of education and experience.
  • Comprehensive knowledge of Commercial Property claims investigation techniques and settlement.
  • Understand the role of Third-Party Administration in claims management.
  • Background in both Excess & Surplus Lines (Lloyds) and standard carrier programs.
  • Ability to plan, organize, and establish priorities while managing responsibilities under critical deadlines.
  • Ability to review and interpret routine and complex policy contracts and coverage.
  • Ability to review and interpret estimates.
  • Knowledge of applicable case law, statutory law, DOI regulations, and claims practices and issues within the territory of operation.
  • Ability to prepare detailed reports and recommendations for clients.
  • Ability to analyze and research legal and claims trends.
  • Sound analytical and negotiation skills.
  • Proactive, independent, dependable, and able to take initiative and follow through consistently.
  • Strong written and verbal communication skills with diverse audiences and timely communication.
  • Strong time-management skills and ability to meet deadlines.
  • Ability to multitask, prioritize, and maintain excellent organization and documentation in a fast-paced, dynamic environment.
  • Teamwork and interpersonal skills.
  • Attention to detail, decision-making, and problem-solving skills.
  • Ability to work collaboratively and independently with minimal supervision.
  • Discretion in handling sensitive and confidential information.
  • Comfort working with key people at all levels within an organization.
  • Moderate proficiency with Microsoft Suite, especially Excel and Word.
  • Must speak English.

Nice To Haves

  • Multi-State Adjuster license.
  • Additional language skills.

Responsibilities

  • Determine, evaluate, investigate, negotiate, and resolve single-insurer property claims in accordance with legal, regulatory, and internal standards.
  • Verify coverage under applicable Commercial Property insurance policies.
  • Coordinate with field adjusters and experts for inspections or further investigation.
  • Review claim documentation and record review details in the claim file.
  • Analyze damage estimates and repair costs, and review vendor invoices for accuracy.
  • Identify potential fraud, duplicate claims, policy exclusions, and other claim issues.
  • Communicate regularly with policyholders, adjusters, contractors, and other stakeholders to advance claims and provide updates.
  • Prepare written status and large-loss reports for clients, including Reservation of Rights and Coverage Position Letters.
  • Handle appeals and disputes related to claim decisions.
  • Attend mediations and settlement conferences as necessary.
  • Direct and monitor defense counsel in settling litigated claims.
  • Provide monetary authority and strategy to counsel to protect client funds and claims.
  • Present and explain claim overviews to business partners monthly.
  • Participate in audits and quality-control reviews.
  • Stay current on industry trends, policy changes, and best practices.
  • Perform other duties as assigned.
  • Maintain regular and dependable attendance and be available to perform job responsibilities during established work hours.

Benefits

  • Medical insurance plans
  • Dental insurance plans
  • Vision insurance plans
  • 401(k) plan with employer matching
  • Discretionary Time Off for exempt employees
  • Paid Time Off for non-exempt employees
  • Paid holidays
  • Life insurance
  • Short-term disability coverage
  • Long-term disability coverage
  • Paid sick leave where required by law
  • Paid family and parental leave where required by law
  • Other mandated benefits under applicable state and local requirements

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