MDD Forensic Accountants

• Own and oversee end-to-end IT service delivery across all regional sites. • Ensure high availability, performance, and reliability of IT services. • Act as the regional escalation point for major incidents, ensuring effective communication and rapid resolution. • Manage regional service operations through defined processes, shared tooling, and agreed SLAs/OLAs. • Act as the primary interface between global service owners, local IT teams, and regional business leadership. • Build strong partnerships with business leaders, site managers, and country IT teams. • Facilitate regular service reviews, performance reporting, and feedback sessions. • Translate business feedback and operational pain points into actionable service improvement initiatives. • Communicate risks, impacts, and service updates proactively across stakeholders. • Ensure adherence to ITIL-aligned processes and global IT standards. • Drive structured Continuous Service Improvement (CSI) initiatives and quarterly Service Improvement Plans (SIPs). • Monitor service performance using dashboards and reporting frameworks. • Lead monthly operational and service review meetings. • Reduce major incidents and improve SLA Performance achievement. • Drive proactive problem management to eliminate recurring issues. • Ensure high change success rates and minimize emergency changes. • Support smooth coordination of maintenance activities and releases. • Ensure effective transition of new services, projects, acquisitions, and technology deployments into Business as Usual (BAU). • Partner with project teams to ensure operational readiness and service acceptance criteria are met. • Manage regional vendor relationships and performance. • Ensure vendors meet contractual SLA obligations. • Lead structured vendor governance, performance reviews, and escalations. • Support capacity and demand planning to meet regional business needs. • Ensure compliance with regional regulations, including data residency, labour laws, and audit requirements. • Ensure adherence to IT governance, compliance, and security policies. • Manage service-related risks and escalate where appropriate. • Drive initiatives to improve audit readiness and regulatory compliance.

• Support our Third-Party Administration (TPA) claims Transportation Division • Train and provide direction to the claims team • Implement procedures as directed by management • Audit files for quality assurance • Provide oversight and direction to the claim team

• Serve as the primary relationship manager for assigned carrier accounts, ensuring service delivery aligns with client expectations, account instructions, and performance standards • Build and maintain strong working relationships with carrier partners, internal operations leaders, recruiting teams, field leadership, and independent adjusters • Oversee the operational performance of the 1099 independent adjuster network supporting assigned accounts, including readiness, deployment alignment, service quality, responsiveness, and compliance with program expectations • Partner with recruiting, onboarding, licensing, credentialing, and operations teams to ensure independent adjusters are properly vetted, aligned, and assignment-ready • Monitor key service indicators such as cycle time, file quality, responsiveness, coverage of territories, deployment effectiveness, and client satisfaction • Identify service gaps, performance issues, or capacity concerns and implement corrective actions, escalation plans, or staffing recommendations as needed • Support account growth and retention by ensuring consistent execution, proactive communication, and strong service recovery when issues arise • Coordinate with internal stakeholders to align 1099 deployment strategy with carrier needs, catastrophe demand, specialty lines, and regional claim volume • Review trends across assigned accounts and independent adjuster performance to recommend process improvements, network enhancements, and operational efficiencies • Assist in establishing and maintaining service standards, operating procedures, and communication protocols for carrier accounts and contractor-supported claim activity • Support reporting, business reviews, and performance updates for internal leadership and carrier clients • Promote adherence to applicable licensing, documentation, confidentiality, compliance, and contractual requirements across the independent adjuster network • Act as an escalation point for service concerns, contractor performance matters, or account-level operational issues • Contribute to strategic planning around account expansion, field resources, contractor coverage, and service model optimization

• Supervise and support a team of liability claims adjusters. • Provide technical guidance and mentorship to adjusters handling bodily injury, casualty, and liability claims. • Conduct performance reviews, coaching sessions, and ongoing training to support staff development. • Assist with staffing, onboarding, and workload distribution across the team. • Monitor claims handling activities to ensure compliance with company guidelines and client service standards. • Review high-exposure or complex liability claims and provide guidance on claim strategy and resolution. • Approve claim settlements within assigned authority levels. • Ensure appropriate reserve setting and claim documentation. • Serve as a point of contact for clients regarding claim performance and operational questions. • Participate in client meetings and provide updates regarding claim trends, outcomes, and performance metrics. • Collaborate with legal counsel, vendors, and internal teams to support effective claim resolution. • Monitor team performance metrics including claim cycle time, quality assurance results, and service level agreements. • Identify opportunities for operational improvements and implement best practices. • Support leadership with reporting and operational updates.

• Conduct investigations for assigned claims • Inspect or remotely manage inspections of property, structures, vehicles, equipment, or accident scenes as required by assignment • Document damages, conditions, causation indicators, and other relevant findings through notes, measurements, photographs, and diagrams • Evaluate loss facts and support investigation of coverage, liability, damages, and exposure • Obtain statements from insureds, claimants, witnesses, or other involved parties when needed • Prepare timely, accurate, and well-documented reports for clients and internal stakeholders • Coordinate with examiners, managers, carriers, policyholders, vendors, attorneys, and other claim participants as needed • Maintain complete file documentation in accordance with company standards, client instructions, and regulatory expectations • Escalate complex issues, large-loss exposures, litigation indicators, or specialty claim concerns appropriately • Manage field assignments within service expectations, turnaround times, and quality standards • Travel throughout the assigned coverage territory as required

• Utilize advanced cardiac clinical knowledge to review, evaluate, and coordinate treatment plans involving cardiovascular conditions, cardiac procedures, and related medical care. • Monitor recovery progress and treatment outcomes for injured workers with cardiac injuries, diagnoses, or comorbidities. • Collaborate with treating physicians, cardiologists, healthcare providers, employers, adjusters, and injured workers to support optimal medical and return-to-work outcomes. • Evaluate medical necessity and appropriateness of cardiac treatment plans utilizing evidence-based treatment guidelines and clinical best practices. • Identify barriers to recovery specific to cardiac conditions and develop appropriate intervention strategies. • Educate injured workers regarding cardiac diagnoses, treatment recommendations, medication compliance, lifestyle modifications, and recovery expectations as appropriate. • Review medical records, treatment plans, diagnostic testing, and provider recommendations. • Encourage injured worker participation in treatment and recovery plans. • Evaluate return-to-work capabilities and discuss restrictions with providers and employers. • Obtain and review job descriptions to assist providers in determining appropriate work capacity. • Coordinate modified duty and transitional return-to-work opportunities when medically appropriate. • Adhere to state treatment guidelines, evidence-based protocols, account requirements, and organizational standards. • Monitor compliance with ODG, ACOEM, state-specific treatment guidelines, and utilization criteria as applicable. • Identify cases requiring utilization review, physician review, pre-certification, pre-authorization, concurrent review, or retrospective review. • Track treatment outcomes, disability durations, and return-to-work progress. • Maintain timely, accurate, and thorough case documentation within electronic case management systems. • Ensure compliance with HIPAA and all applicable state and federal privacy regulations. • Serve as a patient advocate while maintaining legal, ethical, and regulatory standards. • Participate in quality improvement initiatives, client meetings, and team collaboration activities as needed. • Assist with training, mentoring, and knowledge-sharing opportunities when appropriate. • Perform additional duties and special projects as assigned.

• Understand, interpret and translate data. • Liaise with appropriate stakeholders to ensure that the solutions provided are fit for purpose at point of delivery and throughout the solutions life. • Investigate data integrity issues and liaise with the relevant area for resolution. • Build strong working relationships with stakeholders.

**Joining Davies as our latest Major & Complex Loss Adjuster means that you'll be carrying out the adjustment of High Net Worth, Major Loss and other complex claims including escape of oil.** **It’s a busy role, with a broad range of responsibilities, but the fundamentals include:** **To handle claims in line with company requirements and particularly the demanding service standards of MCL clients** **To ensure key performance indicator targets are reached and maintained** **To actively progress and control all cases** **Understand and effectively implement Company and individual client procedures** **Ensure technical accuracy of the highest standard and produce reports of highest quality** **Build effective relationships with clients, brokers and policy holders**

**What You'll Be Doing** • Take ownership of a portfolio of complex claims from initial assessment through to successful resolution. • Conduct site inspections of damaged residential and commercial properties across the UK. • Assess building damage and provide expert technical advice on insurance-related matters. • Project manage complex reinstatement works, ensuring quality, cost control and timely delivery. • Produce detailed reports, specifications, tender documents and contract administration documentation. • Manage multiple major loss claims whilst consistently achieving agreed service standards and SLAs. • Build trusted relationships with policyholders, insurers, loss adjusters, brokers, contractors and other stakeholders. • Deliver outstanding customer service, particularly for High Net Worth clients. • Provide regular updates and clear communication throughout the claims process. • Ensure compliance with company procedures, client requirements and industry regulations. • Identify opportunities to enhance customer outcomes through wider Davies Group services. • Support colleagues and contribute to team success during periods of increased claim volumes.

- Work to achieve agreed activity levels with the intention of continuously reducing WIP throughout the year. - Process all invoices and approve estimates within 5 working days of receipt/agreement. - Take responsibility for issuing interim fees during the claim life cycle as highlighted centrally. - Full completion of all prepared site notes templates and associated documentation within set SLA’s - Ensure that the data contained in Cq is accurate at all times. - Assist in maintaining accurate management information by completing spreadsheets as necessary. - Reduce elapsed timescales by providing and fostering a pro-active approach to file management. - Identify cases of possible fraud and recoveries and refer as appropriate within set SLA’s. - Work to ensure correct policy interpretation and validation. - Prepare, check and approve where appropriate, reports for clients in accordance with agreed SLA’s and formats. - Ensure files are up to audit standards at all times. - In conjunction with designated colleagues pro-actively update customers and clients where necessary in accordance with agreed client SLA’s - Take responsibility for following agreed/documented procedures when dealing with problems and complaints. - Build good working relationships with clients and staff, internal and external to the Davies Group - Maintain an awareness of business opportunities and refer all identified opportunities to Davies Group - Responsible for out of hours calls into the Davies Group via a pre-set rota