• Exercises independent discretion and judgement in claims handling involving complex liability issues. • Conducts investigations, evaluate and make recommendations regarding coverage and liability. • Handles claims involving complex liability, damages or coverages. • Negotiates with all parties, or their representatives, within designated authority. • Documents the file and submits reports. • Identifies subrogation opportunities and initiates appropriate action. • Completes required training. • Provide support for property claims during high volume periods. • Trains and mentors team members.

**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**

- 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

• To handle losses or claims nationally regardless of size • Examines insurance policies, claims, and other records to determine insurance coverage • Administers and reconciles complex catastrophic claims for property • Interviews, telephones, or corresponds with claimant(s) and witnesses regarding claim • Consults police and hospital records; and inspects property damage to determine extent of company's liability • Estimates cost of repair, replacement, or compensation • Prepares report of findings and negotiates settlement with claimant • Recommends litigation by legal department when settlement cannot be negotiated • Attends litigation hearings • Revises case reserves in assigned claims files to cover probably costs • Prepares loss experience reports to help determine profitability and calculates adequate future rates • Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements