Commercial Property Claims Examiner II

Responsibilities

• Manage a caseload of commercial property claims from assignment through resolution.
• Examine commercial claims investigated by independent adjusters to determine the extent of insurance coverage and validity of the claims.
• Review and adjust commercial loss reserves, correspondence, reports, verify coverage and authorize payments submitted by independent adjusters.
• Collaborate with internal personnel and/or legal counsel on claims involving litigation.
• Investigate, evaluate, and adjust claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
• Oversee independent adjuster files to ensure they have followed CFP IA Guidelines.
• Verify and analyze data used in settling claims to ensure validity and that settlement is in accordance with company practices and procedures.
• Maintain compliance with the Department of Insurance and Company procedures.
• Identify fraud or illegal activity indicators and follow internal processes to refer the claims to the appropriate personnel for follow up.
• Promptly negotiate settlements ensuring the settlement reflects the insured losses while confirming the insurer is protected from invalid claims.

Requirements

• Bachelor’s degree or equivalent.
• 5+ years of property claims adjusting experience, including 2+ years commercial property claims preferred.
• Excellent oral and written communication skills.
• Working experience with MS-Office (especially Word and Excel).
• Comprehensive understanding of policy contract/statutes and claims processes.
• Certified in CEA and Fair Claims Settlement Practices.
• 2 years of commercial experience.

Hard Skills

• property claims adjusting
• commercial property claims
• claims evaluation
• loss reserves adjustment
• data analysis
• negotiation
• fraud detection

Soft Skills

• communication skills
• collaboration
• human relations skills

Certifications & Qualifications

• Bachelor's degree
• CEA
• Fair Claims Settlement Practices

Industry Keywords

• insurance coverage
• CFP IA Guidelines
• Department of Insurance
• claims processes
• settlement negotiation

Tools & Technologies

• MS-Office
• Word
• Excel