责任高级理赔专员
Liability Senior Claims Adjuster
我们的故事
想象一下,成为一支不仅塑造未来,而且积极推动它发展的团队的一员。在Davies北美,我们处于创新和卓越的最前沿,将尖端技术与顶级专业服务相结合。作为全球Davies集团的重要组成部分,我们帮助企业在风险领域导航、优化运营,并在保险和监管领域引领变革。
职位展望
我们正在寻找一位责任险高级理赔专员(市政理赔),负责根据公司政策、客户服务标准和监管要求,调查、评估、协商并解决复杂且高风险的责任索赔。处理的索赔可能包括商业综合责任、雇主责任、专业责任、执法责任以及其他意外或商业责任风险。这包括对承保范围、责任和损失的调查、确定和评估,以及设定适当的准备金。需要识别客户自留额以外的适用保险,并及时向相关保险公司提交初始和补充报告。该职位可远程在家办公,为位于佛罗里达南部的一位客户提供服务。您必须持有有效的佛罗里达州执照(6-20或5-20)。
主要职责
- 对责任索赔进行迅速准确的调查,采访所有相关方以获取损失事件的事实并确定责任;处理索赔文件直至最终解决。
- 分析索赔风险,确定适当的处理方案,并合理地解决索赔,通过在适用的法律框架内解释事实来评估证据,以确定责任和索赔价值。
- 与索赔过程中涉及的各方进行广泛沟通。
- 通过评估事实信息来制定和解/诉讼/辩护策略,以成本效益的方式解决索赔;根据账户处理指南与辩护律师和客户合作。
- 按照最佳实践、客户和公司政策及程序处理索赔,同时符合法定、监管和道德要求。
- 及时有效地记录和沟通所有索赔活动,以支持索赔文件的结果,按照既定程序进行;制定并维护一个逐步推进的行动计划。
- 有效且恰当地使用系统日志系统。
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Our Story
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.
What's in Store
We are on the lookout for a Liability Senior Claims Adjuster- (Municipal Claims) who will be 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. You must hold a current FL license (6-20 or 5-20).
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
- 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.
- Willing to travel for mediations, to the client for status reporting, or other meetings, 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, 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. Good attendance.
- Demonstrated experience managing complex, litigated, and high-severity claims.
Equal Employment Opportunity & Legal Notices
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.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.
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
Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.
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
Originally posted on Himalayas