Commercial Property Claims Adjuster

Commercial Property Claims Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Daniel Grizzaffi Compensation: $90,000 - $100,000 / year Description Davies North America, is looking for an experienced Commercial Property Claims Adjuster. Reporting to the Commercial Property Claims Supervisor, this role is responsible for end-to-end management of Commercial Property Claims primarily for quota share and single insurer specialty programs. To be successful in this role, the candidate must be a results-oriented professional with strong organizational skills and the ability and desire to deliver quality claims service. This role is a full-time, home-based remote position.

Key Responsibilities

• Determine, evaluate, investigate, negotiate and resolve quota share and single insurer 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 as well as review vendor invoices for accuracy.
• 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 on a monthly basis.
• Participate in audits and quality control reviews.
• Stay updated on industry trends, policy changes, and best practices.
• Other duties as assigned

Skills, knowledge & expertise

• Understand the role of Third-Party Administration in claims management.
• Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs.
• Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines.
• Ability to review and interpret routine and complex policy contracts and coverage.
• Ability to review and interpret estimates.
• Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.
• Ability to prepare detailed reports and recommendations to clients.
• Ability to analyze and research legal and claim trends.
• Possess sound analytical and negotiation skills

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. Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Apply tot his job Apply To this Job