Davies

Role Description We are seeking an experienced Bodily Injury Claims Adjuster to join our growing team. This role is responsible for the investigation, evaluation, negotiation, and resolution of complex third-party liability claims involving bodily injury, personal injury, and allegations of wrongdoing. Claims may include: - General Liability - Auto Liability - Errors & Omissions - Law Enforcement Liability The ideal candidate will possess strong investigative skills, excellent judgment, a customer-focused approach, and the ability to independently manage claims through resolution while maintaining compliance with client requirements and applicable regulations. Qualifications - College degree or equivalent claims experience preferred. - Active Adjuster License required or ability to obtain and maintain appropriate licensing. - Minimum of 3+ years of bodily injury claims handling experience. - Experience handling: - Auto Liability Claims - General Liability Claims - Errors & Omissions Claims - Law Enforcement Liability Claims - Strong understanding of: - Tort law - Liability analysis - Bodily injury evaluation - Medical terminology - Coverage interpretation - Litigation management - Experience independently handling claims from assignment through closure. - Experience working with defense counsel and litigated files preferred. - Knowledge of Medicare reporting requirements and excess carrier reporting procedures preferred. - Familiarity with ISO ClaimSearch and industry-standard claims platforms. - Excellent negotiation and settlement skills. - Exceptional written and verbal communication abilities. - Strong organization, documentation, and time management skills. - Ability to prioritize multiple assignments in a fast-paced environment. - Strong analytical, investigative, and problem-solving skills. - Proficiency with Microsoft Office Suite and claims management systems. - Ability to work independently with minimal supervision while maintaining high-quality claim outcomes. Requirements - Investigate, evaluate, negotiate, and resolve third-party bodily injury and liability claims in accordance with client guidelines and Davies best practices. - Review all new claim assignments within 24 hours and develop an appropriate plan of action. - Contact insureds, claimants, attorneys, and other involved parties within 24 hours of claim assignment. - Conduct thorough investigations to determine liability, causation, damages, and exposure. - Obtain recorded statements from claimants, insureds, witnesses, and other involved parties as necessary. - Gather and evaluate evidence, including medical records, photographs, police reports, expert reports, and witness statements. - Coordinate appraisals, damage estimates, and field investigations when required. - Determine injury status of all parties involved in claims and accident investigations. - Analyze coverage, liability, damages, and settlement exposure. - Evaluate claims involving attorneys and determine the appropriate level of legal involvement. - Negotiate settlements within authority and seek payment authorization in accordance with client and company requirements. - Maintain accurate reserves and recommend adjustments based on claim development. - Manage litigated claims and coordinate with defense counsel when assigned. - Immediately notify management and clients of any Summons and Complaint received. - Monitor defense counsel performance and obtain status updates at minimum 90-day intervals. - Review field adjuster reports for thoroughness, accuracy, and completeness. - Run ISO ClaimSearch reports on injured claimants and evaluate findings as appropriate. - Report qualifying claims to excess carriers and provide timely status updates. - Respond to Reservation of Rights inquiries and carrier communications as needed. - Develop and maintain working knowledge of No-Fault/PIP statutes and regulations. - Ensure Medicare reporting compliance and follow company guidelines when resolving claims involving Medicare recipients. - Review claims for compliance with applicable sovereign immunity statutes and governmental liability requirements, including Florida Statute 768.28 when applicable. - Maintain complete and timely claim documentation, file notes, correspondence, and workflow activities. - Maintain diary systems and follow-up schedules to ensure timely claim progression and closure. - Meet established service standards, closure goals, productivity expectations, and quality metrics. - Maintain required adjuster licenses and continuing education credits. - Assist colleagues, supervisors, and management with special projects and claim-related support as needed. 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. - Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws. - Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.

Role Description Davies US is looking for an experienced Coupa System Administrator for management of procurement data, reporting needs and Coupa procurement system. The ideal candidate will have experience with data management, Coupa software and have a strong technical background. Reporting to the Procurement Analyst & Coupa System Manager, you will be responsible for ensuring Coupa system configuration and operational performance to meet business procurement needs as well as delivery of supplier spend insights providing opportunity analysis to the procurement function. To be successful in this role, you need to be proactive, independent, and take initiative with consistent follow through. You should possess superb communication skills, both verbal and written, conducted in a timely manner, and have superior time management skills with the capability of working with and meeting deadlines. You must have extensive experience in a similar role, managing Coupa or a similar management system, experience with user management, including creating and managing user accounts, roles, and permissions, and knowledge of Coupa's reporting and analytics capabilities. Additionally, you will need to have exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment, excellent team player with interpersonal skills, and a high-level attention to detail and problem-solving skills. This role is a full-time, home-based position. Key Responsibilities - Manage and maintain the Coupa procurement system to include supplier migration to Coupa and catalogue management - Work with stakeholders to identify and implement system changes and improvements - Ensure that the system is configured to meet our procurement needs - Provide end-user support, including troubleshooting and issue resolution - Train end-users on system functionality and best practices - Develop and maintain system documentation, including standard operating procedures and training materials - Manage user accounts, roles, and permissions - Identify target vendors for use of Coupa and its invoice management solution, including supplier engagement, system maintenance, testing, and query resolution - Ensure system security and data integrity including query management of ERP interfaces - Manage the timely upgrade of Coupa releases including testing approvals and knowledge of new Coupa features - Produce accurate and timely supplier and spend analytics reports, including Procurement monthly reports, KPI’s and others as required - Optimize, collaborate, and maintain strong and sustainable relationships with end-users and internal/external stakeholders across all areas of the business - Purchase Order Management including conversion of requisitions to purchase orders where appropriate and management of queries regarding receipting, PO closures and cancellations - Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together - Perform other duties as assigned Qualifications - 4+ Year experience - Extensive experience in a similar role, managing Coupa or a similar management system - Experience with user management, including creating and managing user accounts, roles, and permissions - Knowledge of Coupa's reporting and analytics capabilities - Bachelor's degree in a relevant field, such as computer science or business administration (Preferred) - Strong technical skills, including proficiency in SQL and experience in system integration query management - Excellent project management skills, with the ability to manage complex projects from start to finish - Strong communication skills, with the ability to communicate complex technical information to both technical and non-technical stakeholders - Ability to work independently and in a team environment Requirements - Proactive, independent, and takes initiative with consistent follow through - Superb communication skills, verbal and written, conducted in a timely manner - 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 - Excellent team player with interpersonal skills - High level attention to detail 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

• Primary review of all premium audits (WC, GL, Garage, etc). • Audit types include: Phone, Mail, Physical, Remote Physical, Virtual • Independently determine if each audit adequately addresses the Afirm QC requirements, standard manual rules, state-specific rules, and client-specific requirements. • Validate time charges with audit detail and/or explanations. • Manage inventory of audits to review. • Meet production requirements and expectations as provided. • Other duties as assigned.

Role Description We are seeking a highly experienced Senior Liability Claims Adjuster to manage complex, high-exposure claims for governmental entities in Florida across multiple lines, including: - Auto Liability - General Liability - Law Enforcement Liability - Public Officials Liability - Employment Practices Liability This role requires advanced technical expertise, strong analytical capabilities, and the ability to independently investigate, evaluate, and resolve claims with minimal supervision. The ideal candidate will demonstrate sound judgment, discretion, and a strong commitment to delivering exceptional client outcomes in a public sector environment. Key Responsibilities - Independently investigate, evaluate, and resolve complex and high-severity claims across multiple liability lines - Analyze claim exposures and determine appropriate strategies for resolution and settlement - Evaluate coverage, liability, and damages, and establish and adjust reserves accordingly - Handle claims involving governmental entities with an understanding of public sector immunities, statutes, and litigation nuances - Collaborate with defense counsel to develop and execute litigation and defense strategies - Communicate effectively with clients, claimants, attorneys, experts, and other stakeholders - Negotiate favorable settlements on high-value and complex claims - Ensure compliance with client guidelines, Davies policies and procedures, and all applicable Florida statutory, regulatory, and ethical requirements - Maintain accurate, timely, and detailed claim documentation that supports claim outcomes - Manage caseload priorities while maintaining service standards and quality expectations Qualifications - Minimum of 5+ years of claims adjusting experience with consistent high performance - Demonstrated experience handling complex, high-exposure liability claims - Experience with public entity or governmental claims strongly preferred - Multi-line experience required (Auto, GL, EPL, Law Enforcement, Public Officials) - Florida Adjuster License (or ability to obtain) required - Experience in a TPA and/or client-facing environment preferred - Extensive knowledge of multi-line liability claims handling, including public entity exposures - Strong understanding of Florida claims regulations and governmental liability considerations - Advanced investigative, analytical, and decision-making skills - Proven ability to negotiate complex and high-value claims - Experience managing litigated claims and working closely with defense counsel - Excellent verbal and written communication skills - Strong organizational skills with the ability to manage competing priorities - Proficiency in claims management systems and Microsoft Office applications 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 Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location. Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Company Description 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.

Role Description This role is positioned within our Volume Motor Litigation Unit which deals with motor litigation across MOJ, OICP, Small Claims and Fast Track claims to the value of £25k. The unit is made up of distinct file handler teams managing the different work types previously mentioned. The unit offers clear progression pathways, both technically and operationally allowing candidates to continue their career journey within the business. The role of MOJ/OICP File Handler is within our Part 8 Team managing a caseload of litigation MOJ and OICP portal cases up to a value of £25k. Cases would be managed from the point of service through to resolution. All claims would be handled on behalf of key insurer clients as Defendant. The role would suit: - An established portal litigator looking for opportunities to progress their career longer term. - Pre-litigation handlers, paralegals, or handling assistants looking to move into a litigated file handling role. - A law graduate looking for their first handling role. Full induction training will be provided along with continued on the job training and supervision. Qualifications - Previous experience of handling own caseload of litigated claims (either in a defendant or claimant role) desirable. - Understanding of case law and litigation practice and process, and Court Practice Rules. - Ability to plan and prioritise workloads. - Efficient in a process driven environment. - Excellent listening and verbal communication skills. - Excellent written communication skills and the ability to compose professional written communications. - Ability to follow instruction with attention to detail. - Ability to recognise when sensitivity and tact are required. - Effectively work within a team. - Proficient IT skills (Word, Excel and Office). - Good standard of education – 5 GCSE’s grade C/5 or equivalent including maths and English. Requirements - Independent management of a caseload of Part 8 cases, including effective planning and organising of the associated workload to ensure Court deadlines are met. - Delivery of agreed performance targets and quality standards. - Analysis of the available evidence to create an initial case strategy on quantum. - Undertake effective telephone discussions and negotiations with the client, Defendant, third party insurer and third party Solicitors to pursue the efficient and appropriate settlement of cases and apportionment of costs. - Drafting of Court documents and complying with all Court deadlines. - Instructing, briefing and liaising with Counsel. - Guide the Defendant through the litigation process where required and set expectations. - Timely and accurate maintenance of all case management, billing and management information systems to ensure completeness of records and aid business decision making. - Delegation of tasks where available and appropriate to other members of the team. - Dealing with correspondence and telephone calls within strict service level agreements. - Updating reports upon receipt of evidence as required. - Adhering to Client Guidelines. - Provide written updates by email or letter to clients detailing case activity to ensure that they receive up to date and accurate information about progress when requested. - Ensuring files are kept within ISO 9001 guidelines. - Assisting the team with file tasks as required. - Assisting the team leader with team tasks as required. - To ensure compliance with the SRA Code of Conduct 2011. Benefits - Davies Incentive Plan. - 25 days holiday per year which increases with level of service (opportunity to buy & sell 3 days). - Simply Health Care Cash Plan. - WeCare – 24/7 online GP, mental health support and virtual wellbeing covering a whole host of topics to do with health, mental health, wellbeing & healthy living and financial & legal wellbeing. - Death In Service – after 1 years’ service. - Pension Contribution based 5% Employee / 3% Employer. - Employee Resource Groups. - Employee Volunteering Programme. - Cycle to Work Scheme*. - Tech Scheme*. - Season Ticket Loan*. - Gym Flex*. - Access to Online Discount Sites. - Discounted Gourmet Society Membership. - Discounted Tickets for Merlin Attractions nationwide. - Discounts at local retail outlets. *after successfully completing probation.

Role Description The SQL Database Developer is responsible for supporting projects in a dynamic, fast paced, scalable, and agile environment. Tasks include the design and development of backend database solutions in support of meeting the goals of the company. The Database Developer will interface with business users to ensure the database is satisfying business requirements. Key Responsibilities - Back-End Database Infrastructure - Create and maintain database stored procedures, functions, batch services, Windows Services, and WCF components - Implement and test database design and functionality, and tune for performance - Locate and define new process improvement opportunities - Data Conversion and Data Migration - Create and maintain integrations to both internal and external applications through data feeds - Acquire, understand, manipulate, and organize data from various sources - Create and maintain existing SQL Server Integration Packages - Provide Systems Support - Ensure business process integrity is maintained - Provide coverage of automated back-end processes, especially during off-production hours; this coverage will be on a rotating basis amongst team members - Maintain and develop documentation of IT processes - System Design and Technical Leadership - Participate in the evaluation of business requirements and processes, preparation of application system specifications and the development, testing and implementation of efficient, cost effective applications solutions - Provide design input and direction for new database development - System Development - Review documented business requirements and test plans and provide technical feedback to Business Analysts - Testing/Troubleshooting - Ensure quality with thorough unit testing of all code and participating in systems integrated testing - Assist Business Analysts and End Users with any technical issues during systems integrated testing, parallel testing, training sessions and demonstrations Qualifications - Bachelor’s degree in Computer Science or related field - Three to five years’ software development experience - SQL Server SSRS, WPF, Web Service Development, MVC are a plus - Experience with data sourced from mainframe systems is a plus (COBOL, VSAM, and MVS) - Insurance industry experience preferred - Excellent written and oral communication skills - Ability to mentor and coach - Ability to work in a fast-paced environment - Ability to work individually and as a team player - Ability to adapt to changes in the work environment - Ability to work remotely with limited interaction with fellow team members - Ability to learn and work with third party software vendors and/or systems

Role Description We are looking for a Utilization Review Coordinator to provide Utilization Review administrative assistance to nurses, along with providing clerical support per guidelines for Initial Requests for referrals for specialists. - Follow workflow expected of UR Coordinator according to company and client protocols and production standards. - Coordinate scheduling of specialist referrals that have been approved by the UR Specialists. - Follow Rapid Response protocol established by client to authorize initial PT, initial diagnostics and initial referrals to a specialist upon receipt of referral on all new claims. - Document initial actions in Corrus using correct grammar, spelling, and sentence structure. - May act as back-up assistance for Triage Department and CMA Department. - Perform other duties as needed. Qualifications - High school diploma. - A minimum of one year of medical terminology/medical office experience. - Have a working knowledge of appropriate state’s Workers’ Compensation system and the statutes. - Medical terminology knowledge. - Experience dealing with medical provider offices. - Data entry proficiency and computer skills – Word, Excel. - Excellent organizational skills. - Detail oriented and motivated. - Ability to work in fast-paced environment and utilize critical thinking skills to ensure proactive outcomes. - Ability to effectively operate a personal computer and related claims and business software. - Good communication skills, both oral and written. - Team player. - Good attendance. - Good customer service skills. 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. - Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location. - Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.

Role Description We're on the lookout for a Commercial General Liability Claim Adjuster . As a Commercial General Liability Claim Adjuster you will be responsible for handling and supervision of complex and litigated liability and property claims. Responsibilities include: - Negotiate and settle large exposure commercial general liability and property claims - Prepare written status and large loss reports for clients - Interpret routine and complex policy contracts and coverage - Plan, organize, and establish priorities to maintain various responsibilities under critical deadlines - 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 - Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation - Determine, evaluate, investigate, and resolve claims - Demonstrate sound analytical skills - Other duties as assigned Qualifications - 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 - Excellent team player with interpersonal skills - 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 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 - Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements

Role Description We're on the lookout for a Commercial General Liability Claim Adjuster . As a Commercial General Liability Claim Adjuster, you will be responsible for handling and supervision of complex and litigated liability and property claims. Responsibilities include: - Negotiate and settle large exposure commercial general liability and property claims - Prepare written status and large loss reports for clients - Interpret routine and complex policy contracts and coverage - Plan, organize, and establish priorities to maintain various responsibilities under critical deadlines - 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 - Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation - Determine, evaluate, investigate, and resolve claims - Demonstrate sound analytical skills - Other duties as assigned Qualifications - 5-7 years of experience handling general liability claims - Adjuster license required - NY license (preferred) or willingness to obtain additional licenses - 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 - Excellent team player with interpersonal skills - 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 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 - Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements

Role Description As a Policyholder Services Representative I (“PHS Rep I”), you will be responsible for responding to inbound customer service inquiries, complaints, and service requests in a professional and timely manner. This position is often the first contact with policyholders and/or their representatives requiring a commitment to client sensitivity, service, and guideline adherence. PHS Reps I spend 80% or more of their day responding to telephone and/or written inquiries from policyholders and/or their representatives. This position requires a willingness and ability to sustain the demands of a telephone support role within a collaborative team environment. The PHS Rep I is responsible for: - AIC and COF policy & benefits calls - Processing address changes, terminations due to death, PHI authorizations, 3rd parties, and SSN updates/requests Key Responsibilities - Provide exceptional customer service in a phone support role - Empathetically assist policyholders and/or their representatives by providing information on highly individualized policy inquiries - Utilize excellent oral and written skills to communicate with policyholders and/or their representatives by telephone and in writing, as well as with internal co-workers - Identify needs of caller utilizing active listening skills; professionally and appropriately respond to inquiries meeting department’s established guidelines, policies, and procedures - Complete document processing in an efficient and effective manner - Update and change customer contact and policy information with accuracy - Respond to all written inquiries, communicating clearly and with proper grammar - Assist with document indexing; utilize identifiers such as policy number, claim number, etc. to accurately and efficiently attach document/s to a specific system file - Meet or exceed all established minimum expectations/metrics and goals for the position - Meet or exceed standards for productivity and quality as established for the role - Appropriately process all confidential information abiding by HIPAA privacy laws - Ensure smooth transition of inquiry to appropriate department if/when necessary - Perform additional duties as assigned Qualifications - Proven interpersonal, verbal, telephonic, and written communication skills with ability to type 35 wpm - Must possess a high degree of tact, empathy, and professionalism when dealing with all customers - Must utilize active listening skills with ability to ask appropriate questions to fully understand the need/s - Effectively relay complex insurance information and policy language into basic understandable concepts - Ability to apply learned principles to specific and unique circumstances - Effectively respond to written communication utilizing proper grammar and punctuation - Detail oriented with ability to work independently as well as part of a team - Solid knowledge of Microsoft Office products with ability to learn new system applications quickly - Ability to toggle between multiple screens while speaking with customers and documenting in the system - Proactively provide creative and analytical recommendations to management for process and performance improvement 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 - Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location - Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements