Work independently and within authority granted to investigate, evaluate, create estimates, negotiate, and resolve on-site large loss property claims in excess of $2 million. Review coverage, determine liability, secure information, document files, and settle and pay claims, utilizing claims best practices adhering to claims department policies and procedures
Manage the direct adjustment of large loss property claims with a physical visit to loss site and prompt contact with all knowledgeable parties. At times of high volume and with management approval, supervise and monitor independent adjusters.
Develop the claim facts and analyze and address coverage issues timely and accurately under the policy.
Review and direct experts, consultants, attorneys, and other claims vendors to achieve appropriate claims outcomes. Review all vendor charges for appropriateness.
Evaluate damages and use knowledge of claim investigations, litigation, and insurance contracts and industry trends to set accurate and timely reserves.
Evaluate, negotiate settlements, and pay claims within designated authority. Provide detailed claim data to reinsurers as necessary. Advise supervisor/manager of payments and reserves in excess of authority. Notify supervisor/manager of claims involving litigation or potential for litigation.
Monitor rebuild status to ensure period of restoration compliance and verify any repair scope development.
Maintain well documented file and write articulate file notes able to be read and understood by not only Claims department but other involved parties. Carry out necessary communications to accomplish adjustment of the claims.
Identify and refer any subrogation, salvage, and SIU potential.
Adhere to all state specific claims handling requirements.
Present cases and regularly share expertise through the claims committee process.
Develop and present training programs and mentor fellow claims handlers.
Bachelor's degree is preferred. Significant industry experience with a high school diploma or equivalent may be considered in place of a bachelor's degree.
Evidence of continued education in insurance claims and/or an insurance designation such as AIC, CPCU, or SCLA is desirable.
Typically, at least 15 years of large/complex property adjusting experience, demonstrating successful evaluation and negotiation of claims settlements.
Proficiency in writing estimates using Xactimate.
Ability to understand building engineering and construction concepts and apply damage solutions.
Excellent verbal and written communications skills, including large-group presentations.
Advanced analytical skills.
Advanced organizational skills to manage a claim inventory under limited supervision.
Advanced knowledge in insurance coverage, contracts, and evaluating and setting timely and accurate reserves.
Advanced knowledge to handle large property claims including analyzing engineering reports, writing specifications for repair, estimating damages, and applying other technical skills.
Demonstrated ability to deliver high calibre customer claim service.
Advanced listening and negotiation skills.
Ability to establish meaningful end results, producing relationships with a wide spectrum of people, both internally and externally.
Moderate to advanced knowledge of computer system necessary to process claims and to provide the required reporting.
Willingness to develop professional knowledge, to share knowledge, and contribute to the growth of fellow claims handlers.
Ability to travel and physically inspect property damage, including roofs.