Senior Claims Adjuster

Senior Claims Adjuster

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Remote, FL

Reporting To: Natalie Bowen

Compensation: $80,000 - $85,000 / year

Description

The Liability Senior Claims Adjuster is responsible for investigating, evaluating, negotiating, and resolving complex and high exposure liability claims in accordance with company policies, client service standards, and regulatory requirements. Claims handled may include Commercial General Liability, Employer's Liability, Professional Liability, Law Enforcement Liability, and other casualty or commercial liability exposures. This includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Identification of applicable insurance, beyond the client's retention, and timely initial and supplemental reporting to applicable carriers is required.

This role is located remotely from home and services one client located in south Florida.

Key Responsibilities

• Conduct prompt, accurate investigations of liability claims, interview all relevant parties to obtain loss events facts and to establish liability; handle claims files to final resolutions.
• Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values.
• Interact extensively with various parties involved in the claim process.
• Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client per account handling guidelines.
• Handle claims consistent with best practices, client and company policies and procedures and also in accordance with statutory, regulatory and ethical requirements.
• Document and communicate all claim activity timely and effectively which supports the outcome of claim files, in accordance with established procedures; develop and maintain a progressive plan of action.
• Utilize a system diary system effectively and appropriately to keep claims files current.
• Create, edit, and/or revise correspondence to other parties as necessary.
• Effectively identify, evaluate, and handle risk transfer on liability claims.
• Identify and notify responsible third parties of their potential exposures and follow up for reimbursement of amounts owed to clients.
• Examine and address claim files reserves for accuracy.
• Prepare for and assume lead roles in collaboration with defense counsel during mediations, arbitrations and trials.
• Formulate problem-solving platforms to plan, organize and negotiate claim resolutions, timely and with maximum cost efficiency, for service to the client.
• Produce and review prepared and on-demand claims and status reports with the client.
• Maintain current knowledge of laws and statutes pertinent to liability claims handling, maintain CEUs and licensing in current and/or active status, as appropriate.
• Perform other duties as assigned.

Skills, knowledge & expertise

• Experience handling all aspects of liability claims and subrogation.
• Extensive knowledge of applicable statutes accepted industry standards, and practices.
• Ability to successfully and skillfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation.
• Ability to effectively operate a personal computer and related claims and business software.
• Must be able to attend and effectively participate in mediations, claim reviews, and status meetings with the client as necessary.
• Must be self-directed and able to work independently.
• Good communication skills, both oral and written; good customer service skills.
• Assertive self-starter with excellent organizational skills, fast and accurate, team player.
• Demonstrated experience managing complex, litigated, and high-severity claims

Minimum Qualifications

• Active Florida All-Lines Adjuster License (5-20 or 6-20).
• A minimum of five years handling all aspects of liability claims and subrogation with a consistent high level of performance and achievement.
• General liability, auto liability, complex and professional liability claims experience required.

Preferred Qualifications

• Bilingual (Spanish).
• Experience handling Public Entity claims and exposures.
• Industry designations such as AIC, CPCU, or equivalent.

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:

• 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.

Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.

• Maintain regular and dependable attendance.
• Be available and able to perform job responsibilities during established work hours.