About this role
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) 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.