Job Description
Property Claim Adjuster II (Desk)
remote type
Remote
locations
Iowa – Work From Home
time type
Full time
job requisition id
R4588
At EMC, you’ll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company’s success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
*This position can be performed remotely for candidates who reside in IL, IA, NE, ND, SD, MT, MO AK, KS, FL,LA, OK, TX, NC, SC, MS, MI, AL, & TN.*
Essential Functions:
- Reviews and evaluates the claim notice, lawsuits, contracts, state statutes, and policies to verify the appropriate coverage, deductibles, and claim payee/mortgagees
- Initiates timely contact with insureds and claimants to explain the claims process
- Coordinates with appropriate experts to ensure urgent matters addressed, such as initial remediation, temporary restoration, business continuation either at the damaged location or at a new temporary business site, preserving evidence, securing origin and cause experts, various engineers, general and subcontractors etc., and multi-party reinspection
- Obtains statements from insureds, claimants, witnesses, and all other pertinent parties
- Documents claim activities, reserve analysis, summaries of reports in the claim system
- Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology
- Analyzes business records, such as profit and loss statements, tax forms, financial forecasts, and payroll records to estimate the loss of business income
- Secures all necessary official reports, claim forms and documents
- Reviews bills, invoices, and receipts, including legal and litigation related expenses, for accuracy and appropriateness
- Notifies all parties involved that legally require appropriate notice
- Notifies the Claims Supervisor of claims exceeding authority level and requiring assignment to more senior level team member
- Resolves questions of coverage, repair methods, and the value of the claims and communicates with insureds and claimants to resolve claims
- Drafts and sends reservation of rights and denial letters upon manager approval
- Evaluates cause of loss and writes estimates for cost of repairs and value of property damaged through research and the use of estimating software, including reviewing discrepancies identified between research and software estimates
- Provides prompt, detailed responses to agents, insureds, and claimants on the status of claims
- Communicates with insured, claimants, and attorneys to negotiate the settlement of claims
- Determines and negotiates settlement amounts for damages claimed within assigned authority limits. Makes recommendations to management for settlement amounts outside of authority limits
- Identifies, investigates, and proactively pursues opportunities for recovery, including arranging of evidence preservation in legal compliance that meets custody, control, transfer, analysis, and disposition of physical and/or electronic evidence
- Identifies potential fraudulent claims and refers cases to Special Investigation Unit (SIU) as necessary
- Drafts and issues settlement documents and timely payments, including statements of loss and proof of loss, and verifies accuracy and compliant documentation
- Assists as needed in the coordination and preparation of cases involved in mediations, appraisals, arbitrations, and lawsuits
- Submits referrals to Estimatics, SIU, Property Review Unit, Bond, Subrogation, and Legal when necessary
- Prepares risk reports for Underwriting and Risk Improvement
- Review coverage intent and policy activity with Underwriting
- Reviews account inspection information with Risk Improvement
- Prepares claims and participates in claims roundtables to discuss unique cases to evaluate coverage and damage
- Handles referrals of property or property damage claims from other units or departments
- Reviews and audits property estimates written by independent adjusters and contractors for accuracy and to ensure the most cost-effective repair approach
- Assists claims team members as needed in handling of claims. Participates in projects as needed
Education/Experience:
- Bachelor’s degree or equivalent relevant experience
- Three years of property claims adjusting experience
- Relevant insurance designations preferred
Knowledge, Skills & Abilities:
- Strong knowledge of the theory and practice of the claim function
- Strong knowledge of commercial property insurance contracts and procedural laws
- Ability to obtain all applicable state licenses
- Strong knowledge of computers and claims systems
- Strong written and verbal communication skills
- Excellent customer service skills
- Solid investigative and problem-solving abilities
- Strong organizational abilities and empathetic interpersonal skills
- Ability to maintain confidentiality
- Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving
Our employment practices are in accord with the laws which prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.