Property Claims Adjuster Opportunity
Within defined guidelines and framework, investigates, evaluates, negotiates and settles moderate to complex property insurance claims presented by or against our members at a To Tier Insurance Firm. In this role, you will confirm/analyzes coverage, recognizes liability exposure and negotiates equitable settlement in compliance with all state regulatory requirements while recognizes and empathizes with members' life events, as appropriate.
Identifies and manages existing and emerging risks that stem from business activities and the job role.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
Follows written risk and compliance policies and procedures for business activities.
Manages assigned claims caseload comprised of claims with moderate to complex damages. Updates initial reserve levels dictated by complexity. Leverages digital platform(s) to prepare estimates.
Partners with vendors and internal business partners to initiate inspections and facilitate moderately complex claims resolution.
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies resulting from unusual characteristics.
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate.
Determines coverage through analyzing investigation information involving moderate to complex claim recommendation and resolution.
Communicates with insured about coverage and any issues that arise. Determines and negotiates settlement amounts for damages claimed.
Maintains accurate and current claim file documentation throughout the claims process for moderate to complex claims.
Proficient knowledge of estimating technology platforms. Utilizes platforms to prepare claims estimates in order to handle moderate to complex property insurance claims.
Supports workload surges and/or Catastrophe (CAT) operations as needed to include working significant overtime; may involve deployment travel during designated CATs.
Recognizes and solves obstacles that can occur in the claims process without supervisory approval.
Minimum Education & Experience:
High School Diploma
General Equivalency Diploma
1 year of relevant property claims adjusting experience or 2 years relevant claims adjusting experience.
Successfully acquire Property & Casualty (P&C) adjuster license and state registrations within 90 days of hire.
Developing knowledge of XactAnalysis, Xact Contents, or similar tools and platforms.
Developing knowledge of property claims contracts and interpretation of case law.