Job Description

Senior Claim Adjuster

Imagine being part of a team that's not just shaping the future but actively driving it. 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.

As a Claim Adjuster, you will play a crucial role in the insurance industry by evaluating and processing insurance claims. You will be responsible for investigating claims, assessing damages, determining coverage, and negotiating settlements. Your attention to detail, analytical skills, and ability to communicate effectively with clients and other stakeholders will be vital in ensuring fair and efficient resolution of claims. This position requires a strong understanding of insurance policies, regulations, and industry standards, and you must complete investigations and claims adjusting in full compliance with any relevant Department of Insurance regulations. All tasks must be done in accordance with authority granted to the company and you, making sure to obtain carrier or management authority when needed.

Key Responsibilities

• Investigate and evaluate insurance claims to determine coverage, liability, and potential damages.
• Review policy terms and issued clear coverage position letters, including reservation of rights or denials.
• Conduct thorough investigations, gathered evidence, and negotiated fair settlements within company and legal guidelines.
• Deliver exceptional customer service by maintaining proactive, professional communication with claimants and stakeholders.
• Collaborate with internal teams and carriers on strategy, presenting claim findings and recommendations.
• Maintain accurate, compliant digital claim files and documentation throughout the claim lifecycle.
• Interpret complex policy language and advised insureds on rights, obligations, and claim outcomes.
• Stay current on industry trends, regulations, and procedures to ensure best practices in claims handling.

Skills, Knowledge & Expertise

• Bachelor's degree (or equivalent work experience) Juris Doctor and admittance to a relevant State Bar and remain in good standing.
• Proven experience as a Claim Adjuster or in a similar role within the insurance industry.
• In-depth knowledge of insurance policies, coverage, and claims procedures.
• Familiarity with legal and regulatory requirements pertaining to claims handling.
• Strong analytical and problem-solving skills, with attention to detail.
• Excellent verbal and written communication skills.
• Ability to negotiate and resolve conflicts effectively.
• Proficient in using claim management software and digital tools.
• Demonstrated ability to work independently and meet deadlines.
• Relevant certifications (e.g., claims adjuster licenses) and willingness to obtain additional licenses, if needed.

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 ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.

About Davies

We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses. We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.

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