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

• 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.

• 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.