United States onlySenior Liability Claims Specialist
Department: Claims Administration & Adjusting
Employment Type: Permanent - Full Time
Location: Home United States
Reporting To: Natalie Bowen
Description
Our StoryImagine 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.Responsible for the investigation, evaluation, settlement and disposition of the most complex and highest exposure claims including auto liability, general liability, employers’ liability, professional liability, law enforcement liability. This includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Administer all lines of liability claims pursuant to company and State regulations to ensure claims are managed and settled in a timely and effective manner. Requires independent decision making and a high level of discretion and judgment in regard to the claim handling function.
Key Responsibilities
· Analyze claims exposures, determine the proper courses of action and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claims values. · 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.· 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 clients 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 handle subrogation on liability claims. Identify and notify responsible third parties of their potential exposures and follow 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 clients.· Produce and review prepared and on-demand claims and status reports with clients.· 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
· A minimum of five years handling all aspects of liability claims and subrogation with a consistent high level of performance and achievement. · Commercial lines property, general liability, auto liability, bodily injury, complex and professional liability claims experience required. · Active Florida All-Lines Adjuster License (5-20 or 6-20) and/or as required by any other state in which handling claims· Willing to travel for mediations, to accounts for status reporting, to accident scenes or loss locations for investigation purposes, as necessary.· 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, status meetings with clients 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. Good attendance.
Benefits
BenefitsAt 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.
United Kingdom
