Remote Position

Claims Complex Property Adjuster

🌍 Remote · United States 💼 Full-time

Job Description:

  • Support the Property Claims operation by handling high-complexity claims reported on Homeowner policies written by the Interinsurance Exchange
  • Interpret First Notice of Loss reports
  • Conduct loss investigations, evaluate coverage and damages, develop negotiation strategies, and resolve claims
  • Identify and obtain statements from insureds, claimants, and witnesses
  • Conduct phone investigations to determine coverage and damages and distinguish allegations from facts
  • Determine policy obligations by assessing liability and damage components
  • Maintain proper activities and service levels
  • Communicate with members, insureds, claimants, vendors, and internal and external departments
  • Explain policy coverages, benefits, and claims processes verbally and/or in writing
  • Recognize and address complex coverage and subrogation issues
  • Evaluate, assess, and negotiate first-party claim settlements within settlement authority across multiple markets
  • Assess personal property, property damage, coverage, loss of use, arbitration responses, damage evaluations, and claims technology/tools
  • Discern and address issues that may be questioned in an audit
  • Mentor and assist with training less experienced personnel and provide coaching in files
  • Attend and participate in legal proceedings
  • Direct and interact with in-house and outside counsel on litigated files
  • Provide sworn expert testimony in courtroom or deposition settings
  • Prepare comprehensive formal reports on high-profile claims for senior management
  • Respond quickly to customer needs and problems

Requirements:

  • 7-9 years prior claims handling experience (Required)
  • Bachelor's equivalent combination of education and experience (Preferred)
  • 7-9 years property claims administration experience (Preferred)
  • Working knowledge of claims administration best practices and procedures
  • Advanced knowledge of insurance, coverage investigation, scope and damage assessment, negligence and subrogation principles
  • Advanced knowledge of Microsoft Office suite, general computer software and claims software
  • Comprehensive understanding of building and vehicle repair procedures and third-party liability issues
  • Advanced leadership skills among peers
  • Advanced organization and planning recognition skills
  • Advanced oral and written communication skills
  • Advanced interpersonal skills
  • Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance issued by State (Required)
  • Chartered Property Casualty Underwriter certification (Preferred)
  • Associate in Claims certification (Preferred)
  • An insurance/claims adjuster license may be required for claims administration in specific states

Benefits:

  • Health coverage for medical, dental, vision
  • 401(K) saving plans with company match
  • Pension
  • Tuition assistance
  • Floating holidays and PTO for community volunteer programs
  • Paid parental leave
  • Wellness programs
  • Employee discounts (membership, insurance, travel, entertainment, services and more!)
  • Incentive program based upon the achievement of organization, team and personal performance
  • Occasional travel to off-site business meetings or conferences
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