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资深超额责任理算师(佛罗里达州 - 远程)

雇主

Davies North America

地点

远程 · Remote · 美国

待遇

$USD 80,000 - USD 85,000 / annual

工作模式

远程

截止日期

1月6日

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岗位摘要

Our Story Imagine being part of a team that’s not just shaping the future but actively driving it.

岗位职责

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.
What's in StoreThe Senior Excess Adjuster is 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. Key Responsibilities
Report to excess and reinsurers on all PGIT SIR members.
Responsible for investigating and resolving coverage issues between PGIT/PGCS and the excess carrier.
Monitor the TPA’s handling and assist in obtaining settlement from the respective excess and reinsurers.
Handle claim reporting consistent with our clients and PGCS policies and claims procedure manual and also in accordance to any statutory, regulatory and ethics requirements.
Analyze claim exposures, determine the proper courses of action make recommendations to the TPA’s regarding reserving, litigation and settlement as warranted. Interact extensively with various parties involved in the claim process.
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.
Utilize a system diary system effectively and appropriately to keep excess and reinsurers advised of status.
Examine and address claim files reserves for accuracy.
Maintain current knowledge of laws and statutes pertinent to liability claims handling, maintain CEUs and licensing in current and/or active status, as appropriate.
Issue reimbursement to members for amounts paid above the Self-Insured Retention.
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.
Experience handling Public Entity claims and exposures.
Industry designations such as AIC, CPCU, or equivalent.
Experience handling all aspects of liability claims.
Extensive knowledge of applicable statutes, accepted industry standards, and practices.
Ability to successfully evaluate documentation received from the TPA’s and make recommendations to the adjusters.
Ability to effectively operate a personal computer and related claims and business software.
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.
Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.
Maintain regular and dependable attendance.
Be available and able to perform job responsibilities during established work hours.
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.
AI PolicyAt Davies, we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect each individual's own experience, knowledge, and professional judgment.
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

申请条件

- 具备处理复杂和高风险责任索赔的调查、评估、谈判和解决能力
- 熟悉商业综合责任、雇主责任、职业责任、执法责任及其他意外或商业责任风险
- 能够进行保险覆盖范围、责任和损害赔偿的调查、确定与评估,并设置适当准备金
- 能够识别客户自留额以外的适用保险,并及时向相关承保人进行初始及补充报告
- 具备向超额和再保险人报告的经验
- 能够调查和解决PGIT/PGCS与超额承保人之间的保险覆盖问题
- 能够监控TPA的处理流程,并协助从相关超额和再保险人处获得赔付
- 熟悉客户和PGCS政策及索赔程序手册,并能按法定、监管和道德要求处理索赔报告
- 能够分析索赔风险,确定适当行动方案,并就准备金、诉讼和和解向TPA提出建议
- 能够与索赔过程中的各方进行广泛互动
- 按照最佳实践、客户和公司政策程序以及法定、监管和道德要求处理索赔

雇主简介

Davies North America is part of the global Davies Group, providing professional services and technology solutions to help businesses manage risk, optimize operations, and drive transformation in the insurance and regulated sectors.

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数据来源:Himalayas

岗位信息来源于公开渠道,版权归原作者所有