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.
Property Damage Adjuster
Location
United States
Posted
48 days ago
Salary
$47.5K - $55K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Property Damage Adjuster
Davies
Role Description Davies Claims North America is looking for a Liability Property Damage Adjuster to join our team. Reporting to the TPA/P&C Manager, you will adjust first- and third-party property damage claims in a timely, accurate, and professional manner. - Review new assignments within 24 hours of assignment and completion of the Plan of Action - Contact the Insured or Claimant within 24 hours of assignment - Assign appraisers or coordinate the receipt of damage estimates according to the client guidelines or approval - Determine if estimates or appraisals are appropriate based upon reported damages and other evidence - Gather evidence of damages, set, and adjust reserve amount appropriately - Interview the Claimant, Insured, and/or witnesses as necessary - Evaluate the facts and law to determine liability and the amounts owed - Daily review of workflow and claim system reminders with follow-up and significant progress toward completion of any task set as a reminder, or received in workflow within 72 hours - Request payment authorization according to the client guidelines and Davies Claims North America policy and procedures - Follow client guidelines for any claim denial - Obtain internal investigation reports from the Insured when permitted by the client - Determine degree of Attorney involvement, if necessary - Always act with the utmost good faith in handling of the claim from beginning to closure - Set reminders within the claim system for necessary follow-up in an appropriate time frame - Accurately record any communication, or activity relevant to the claim, in the claim system notes - Follow branch procedures to image documents sent to you that are relevant to the claim file, including emails - Meet the requirements of Continuing Education as required for licensure as an adjuster - Maintain a 95% claim closure ratio - Report to the Excess Carrier on any claim that meets the requirements to do so - Immediately notify the supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, and communicate and cooperate with defense counsel - Read and understand the Excess Carrier Insurance Policy - Develop a working knowledge of Loss of Business Income and Extra Expense - Check for the Claimant’s compliance with the provisions in F.S. 768.28 Sovereign Immunity - Evaluate the claim for subrogation opportunities and for possible fraud - Identify and pursue subrogation, contribution, indemnification, and/or other opportunities to compel third parties to bear their share of responsibility - Assist others as called upon by the Claims Supervisor and/or Manager - For Third-Party Vehicle Damage claims: interview the insured driver or other involved parties - For Third-Party Vehicle Damage claims: determine the injury status of all persons involved in a crash investigation - For Third-Party Vehicle Damage claims: obtain a recorded statement immediately if injury is indicated - For Third-Party Vehicle Damage claims: obtain Certificate of Destruction when called for by the Statue (total loss) - For Third-Party Vehicle Damage claims: verify ownership of the vehicle - For Third-Party Vehicle Damage claims: arrange for the removal of Claimant vehicle from facilities where storage is accruing (with Claimant permission if settlement has not taken place and liability exists upon the Insured) - For Third-Party Vehicle Damage claims: interact with insurance adjusters from other companies, obtaining information needed to process the claim - For Third-Party Vehicle Damage claims: send out subrogation paperwork to the Claimant and/or their insurer and follow up to completion of subrogation efforts - For Third-Party Vehicle Damage claims: check for lien holders prior to issuing payment - Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together - Perform other duties as assigned Qualifications - 1 year of adjusting experience - Bachelor's degree or three or more years of equivalent work experience - Proficiency in Microsoft Office Suite - 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 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
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
• Process and adjudicate insurance claims according to company policies and regulations, ensuring accuracy and compliance. • Review and analyze claims to identify any discrepancies or issues requiring resolution. • Communicate with insurance companies, healthcare providers, and patients to address claims-related inquiries and disputes. • Collaborate with internal teams to gather necessary documentation and information to support claim decisions. • Maintain detailed records of claims activity and ensure timely follow-up on outstanding claims. • Stay updated on industry changes and payer policies to optimize claims processing and reimbursement rates.
Claims Representative, Auto – Total Loss
SedgwickSedgwick Germany GmbH, basée à Düsseldorf, fait partie du groupe Sedgwick, un acteur de référence au niveau international dans les domaines de la gestion de sinistres, de l’expertise et de l’analyse des risques. En Allemagne, nous allions la solidité d’un grand groupe à l’agilité d’une structure à taille humaine. Nos clients, principalement issus du secteur de l’assurance, s’appuient sur notre savoir-faire reconnu en gestion de sinistres, fidèle à notre engagement : « we care ».
• To analyze and process low to mid-level auto total loss and transportation claims. • Processes total loss claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate. • Maintains professional client relations. • Performs coverage, liability, and damage analysis on all claims assignments. • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required.
• Determine compensability and/or coverage issues for loss time workers' compensation claims. • Effectively manage a caseload of loss time claims from numerous jurisdictions. • Negotiate and direct settlements under management's review. • Gather medical and factual evidence to determine compensability. • Direct outside investigation and handle litigation files within given authority. • Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers.
Role Description ADP is hiring a Lead Claims Examiner. In this position you will perform the following basic functions: - Supervisory responsibility for Claims Examiner I and Senior Examiner. - Aid in overall claim cost reduction by coordinating efforts between all involved vendors, clients, and WES. - Monitor applicable claims assigned to Claims Examiner I and Senior Examiner. - Ensure TPA/Carrier accountability in agreed performance standards and coordinate needs for changes with Claims Director. - Accumulate data for the purpose of creating standards for measurement of various claim-related issues, as well as customer service and internal staff performance. At ADP we are driven by your success. We engage your unique talents and perspectives. We welcome your ideas on how to do things differently and better. In your efforts to achieve, learn and grow, we support you all the way. If success motivates you, you belong at ADP. We strive for every interaction to be driven by our CORE values: - Insightful Expertise - Integrity is Everything - Service Excellence - Inspiring Innovation - Each Person Counts - Results-Driven - Social Responsibility Responsibilities - Reviews and recommends acceptability of all Workers' Compensation Claims within claim distribution. - Accountability for the Claim Unit's efforts in all RTW efforts, OSHA documentation, and all documentation of claim activity according to stated claim procedures. - Works directly with Claims Director to determine workloads and the necessity of procedure changes within the Claims Unit. - Assists in online audits of TPA to ensure quality compliance of claim procedures and client satisfaction in Workers' Compensation claims handling. - Maintaining e-time and PTO/Sick time coordination for the Claims Unit; has one administrative direct report and mentor/coaching responsibilities for the Claims Examiner. - Responsible for communication with internal/external clients, claimants, related vendors, as well as TPA/Carrier activity for TotalSource work-site employee claims, including personal visits to each region. - Requires basic knowledge of Workers' Compensation laws for all jurisdictions. - Attends professional development courses and seminars to keep TotalSource current with related workers' compensation laws and standards. - Represents client in legal activities related to Workers' Compensation Claims within authority. - To review, audit, and support the examiner positions. - To generate routine reports for productivity level evaluation. - To support the Claims Director in daily/monthly/quarterly tasks and projects that aid in the claim operation reach its specified goals. Qualifications - 5 years WC Indemnity adjusting or industry-related experience. - 2 years working within TotalSource functions to ensure familiarity with all functions outside of Risk Management. - At least 1 year supervisory experience. - College degree or 5 years of adjusting or industry-related experience. Preferred Qualifications - Maintain knowledge of basic Workers' Compensation Laws in all applicable jurisdictions. - Stay abreast of strategies and current industry-related ideologies in dealing with Workers' Compensation Claims. - Maintain adequate resources to enable continued education in Workers' Compensation and RTW issues.
