Claims Senior Field Property Adjuster

Claims Senior Field Property Adjuster

This position handles moderate to complex claims matters involving homeowner property insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, damages evaluation, negotiation strategies, and claims resolution of moderate to complex claims. The position employs discretion and independent judgment to ensure compliance with state and federal law and established company Best Practices.

Job Duties

• Identify and obtain statements from insureds, vendors and witnesses. Conduct phone and / or field investigations to determine coverage and damages and differentiate between allegations and facts in each loss.
• Communicate and interact with a variety of individuals. Explain benefits, coverages, and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage issues.
• Evaluate and determine claim values upon receipt and assessment of property damage data.
• Negotiate within settlement authority with insureds to resolve first claims.
• Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
• Control expenses for areas of responsibility.
• Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Objectively discern and address issues that may be questioned in audit. Coordinate with internal and external departments as required.
• May attend and participate in legal proceedings.
• Respond quickly and effectively to customer needs and problems.

Qualifications

Remarkable benefits : Health coverage for medical, dental, vision 401(K) saving plan with company match AND Pension Tuition assistance PTO for community volunteer programs Wellness program Employee discounts (membership, insurance, travel, entertainment, services and more!)