Commercial Property Claims Adjuster

Responsibilities

• Determine, evaluate, investigate, negotiate and resolve quota share and single insurer property claims
• Verify coverage under the applicable Commercial Property insurance policy
• Coordinate with field adjusters and experts for inspections or further investigation
• Review supporting documentation submitted for the claims and properly note the details of the review within the file
• Analyze damage estimates and repair costs as well as review vendor invoices for accuracy
• Identify potential issues such as fraud, duplicate claims, or policy exclusions
• Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated
• Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters
• Handle appeals or disputes related to claim decisions
• Attend mediations and settlement conferences as necessary
• Direct and monitor defense counsel to settle litigated claims
• Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected
• Present and explain claim overviews to business partners on a monthly basis
• Participate in audits and quality control reviews
• Stay updated on industry trends, policy changes, and best practices

Requirements

• Results-oriented professional with strong organizational skills
• Strong knowledge in Commercial Property Claims management
• Ability to verify coverage under the applicable Commercial Property insurance policy
• Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs
• Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines
• Ability to review and interpret routine and complex policy contracts and coverage
• Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation
• Ability to prepare detailed reports and recommendations to clients
• Ability to analyze and research legal and claim trends
• Possess sound analytical and negotiation skills

ATS Optimization Keywords

• Commercial Property Claims management
• coverage verification
• damage estimates analysis
• repair costs analysis
• vendor invoice review
• claims documentation review
• legal research
• report preparation
• negotiation
• audit participation

Hard Skills

• Commercial Property Claims management
• coverage verification
• damage estimates analysis
• repair costs analysis
• vendor invoice review
• claims documentation review
• legal research
• report preparation
• negotiation
• audit participation

Soft Skills

• results-oriented
• organizational skills
• analytical skills
• communication
• prioritization
• problem-solving
• stakeholder engagement
• attention to detail
• time management
• negotiation skills

Industry Keywords

• Excess & Surplus Lines
• Standard carrier programs
• policy exclusions
• fraud detection
• case law
• statutory law
• DOI regulations
• claims practices
• quality control
• insurance policy