About this role
- Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss.
- Reviews and utilizes financial statements to adjust moderately sized business interruption losses.
- Conduct on-site appraisal or direct independent adjuster to determine facts relevant causation, damages and exposure.
- Engages and manages consultants and independent adjusters as required.
- Monitors the costs to ensure they are reasonable and necessary.
- Establishes and maintains accurate loss cost estimates and reserves for each claim for reporting, financial records, and other purposes.
- Keeps the Insured and others informed about the claim's status with clear, timely and accurate written/oral communications.
- Effectively communicates in writing on moderately complex coverage issues with minimal review and coaching.
- Determines depreciation of claim.
- Affirms or denies coverage of the claim based on the facts and the policy terms and conditions.
- Develops information necessary to make advance, partial and final payments when appropriate.
- Meet time requirements of the policy and fair claims handling practices.
- Effectively negotiate settlement of claims of varying complexity and perils.
- Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability.
- Keeps the electronic claim file properly documented with accurate, clear and timely information and reports that reflect the adjustment activities and substantiate any payments made.
- May participate in quality assurance file review sessions and serve as a technical resource for less experienced claims personnel.
- Will be called upon for catastrophe duty.
- Knowledge of property insurance; commercial property claims; coverage evaluation; claims investigation, loss assessment, evaluation and reserves; financial analyses; insurance regulations; negotiation and settlement of moderate complexity claims.
- Other skills required in a focus on customers.
- Decision making; results oriented; spoken communication; and adaptability.
- An ability to build relationships, mentoring and training less experienced team members, listen (i.e., comprehend nuances and acknowledge others' viewpoints), write business correspondence, produce accurate work, manage projects, manage vendors; and use core applications/spreadsheets as normally acquired through a bachelor's degree or equivalent.
- Successful completion of required internal training programs and AIC (Associate in Claims) module 33.
- At least 18 months of progressively responsible experience.
- Ability and willingness to travel to the site of a catastrophe for assignments that may last several weeks.