Senior Property Claims Adjuster

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.

Summary:

Exercises independent judgment in the investigation, evaluations, negotiation, and disposition of large and moderately complex to complex commercial property claims, including claims in litigation, within limitations of authority outlined in the Claims Guide. Communicates with insureds, agents, and experts regarding coverage and claim status or questions.

Essential Functions:

• Reviews and evaluates the claim notice, lawsuits, contracts, and policies to verify coverage, deductibles, claim payee/mortgagees and determines compensability
• Initiates timely contact with insureds and claimants to explain the claims process
• Coordinates with appropriate experts to ensure urgent matters are addressed, such as initial remediation, temporary restoration, business continuation either at the damaged location or at a new temporary business site, preserving evidence, securing origin and cause experts, various engineers, general and subcontractors etc., and multi-party reinspection
• Documents claim activities, reserve analysis, summaries of reports in the claim system
• Sets timely, adequate reserves using reserve worksheets in compliance with the company reserving philosophy and methodology
• Analyzes business records, such as profit and loss statements, tax forms, financial forecasts, and payroll records to estimate the loss of business income
• Secures all necessary official reports, claim forms, and pertinent documents
• Resolves questions of coverage and resolves disputes on repair methods and the value of the claims
• Drafts and sends reservation of rights and denial letters upon manager approval
• Evaluates cause of loss and writes detailed estimates for cost of repairs and value of damaged property, including reviewing discrepancies identified between research and software estimates
• Provides prompt, detailed responses to agents, insureds, and claimants on the status of claims
• Drafts and issues settlement documents and timely payments, including statements of loss and proof of loss, and verifies accuracy and compliant documentation
• Reviews and audits property estimates written by independent adjusters and contractors for accuracy and to ensure the most cost-effective repair approach

Education & Experience:

• Bachelor's degree or equivalent relevant experience
• Five years of property claims adjusting experience
• Relevant insurance designations preferred

Knowledge, Skills & Abilities:

• Excellent knowledge of the theory and practice of the claim function
• Strong knowledge of insurance contracts, medical terminology and substantive and procedural laws
• Strong knowledge of computers and claims systems
• Ability to obtain all applicable state licenses
• Excellent organizational and empathetic interpersonal skills
• Strong written and verbal communication skills
• Excellent customer service skills
• Excellent investigative and problem-solving abilities
• Ability to maintain confidentiality
• Occasional travel required; a valid driver's license with an acceptable motor vehicle report per company standards required if driving

Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.

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