Key Responsibilities
- Understand the role of Third-Party Administration in claims management.
- Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs.
- Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.
- Determine, evaluate, investigate, negotiate and resolve large exposure property claims in accordance with legal, regulatory and internal standards. Including but not limited to:
- Verify coverage under the applicable Commercial Property insurance policy.
- Coordinate with field adjusters and experts for inspections or further investigation.
- Review supporting documentation submitted for the claims and properly note the details of the review within the file.
- Analyze damage estimates and repair costs.
- Identify potential issues such as fraud, duplicate claims, or policy exclusions.
- Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated.
- Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters
- Handle appeals or disputes related to claim decisions.
- Attend mediations and settlement conferences as necessary.
- Direct and monitor defense counsel to settle litigated claims.
- Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected.
- Present and explain claim overviews to business partners.
- Participate in audits and quality control reviews.
- Stay updated on industry trends, policy changes, and best practices.
- Provide mentorship and technical support to junior and peer examiners as necessary.
Skills, knowledge & expertise
- Proactive, independent, dependable, and takes initiative with consistent follow through.
- Superb written and verbal communication skills conducted in a timely manner with diverse audiences.
- 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 with ability to utilize decision making 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
Certifications (Optional but Beneficial)
- AIC (Associate in Claims)
- CPCU (Chartered Property Casualty Underwriter)
Essential Requirements
- Bachelor’s Degree from a four-year college or university or at least 5 years related experience and/or training; or equivalent combination of education and experience.
- Comprehensive knowledge of Commercial Property claims investigation techniques and Settlement
- Moderate skills in Microsoft Suite – especially excel and word
- Multi-State adjuster license preferred
Equal Employment Opportunity & Legal Notices
- 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
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.
Background Check & Fair Chance Compliance
Massachusetts NoticeIt is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at recruitment@davies-group.com
