National Large Loss Property Claims Specialist

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Requirements:

• Bachelor’s degree, or equivalent relevant experience
• Ten years of experience with property claims adjusting, including at least six years of experience handling large and complex property losses
• Construction or related experience may be considered in meeting the experience requirements
• Attainment of all applicable state licenses as required
• Insurance designations such as AIC, CPCU, and/or other insurance education preferred
• Excellent, proven knowledge of large loss management and technical file handling
• Excellent knowledge of the theory and practice of the claims function, and demonstrated experience of good judgment with regard to property large loss adjustment and coverage
• Strong knowledge of accounting and finance principles
• Excellent knowledge of insurance contracts
• Excellent leadership and negotiation qualities
• Excellent knowledge of computers and claims systems
• Strong organizational, written and verbal communication skills
• Advanced investigative and problem-solving abilities

Responsibilities:

• Performs field inspections across the country on multiple large loss claims of the highest complexity and individual authority, and prepares detailed, quality estimates.
• Analyzes coverage and determines appropriate coverage applications.
• Prepares reservation of rights and denial letters.
• Sets timely and accurate reserves with proper communication to the agent and large loss leadership.
• Obtains and analyzes the appropriate business records in order to estimate and verify business income loss.
• Facilitates the prompt replacement or repair of business personal property.
• Performs re-inspections.
• Prepares and implements Critical Path Development plans to establish effective and timely steps to repair or replace damaged property and restore business operations.
• Identifies the appropriate vendors and experts needed, coordinates their services, and monitors their activity.
• Assists with and/or leads on-site coordination of CAT adjusting activities.
• Properly manages all assigned files.
• Ensures claims are handled in accordance with the company best practices and company claim handling guidelines.
• Documents and files all necessary paperwork and reports for claims.
• Develops loss schedules.
• Maintains a timely diary for optimum case management and provides detailed, clear, and concise claim notes and reports.
• Develops and prepares large loss reports, including statements of loss, loss schedules, and reserve worksheets, and communicates those reports to leader.
• Investigates for subrogation potential and initiates the appropriate recovery actions.
• Identifies potential fraud and refers cases to Special Investigative Unit (SIU) as necessary.
• Participates in any subsequent subrogation and SIU investigations or proceedings.
• Serves as a consultant for Property Claims team members to answer claims questions and provides input on further handling.
• Helps identify training needs and assists with developing and administering global training initiatives for Property Claims team members.
• Provides input on training materials and helps plan and present during conferences and other assigned projects.