Commercial Claims Examiner III
New
J
JobgetherCommercial property insurance
Based in the United StatesFull-TimeSenior
Salary46.15 - 51.28 USD per year
Apply NowOpens the employer's application page
Job Details
- Experience
- At least 5 years of property claims adjusting experience, including preferably 2 or more years in commercial property claims. Four years of commercial claims experience, including 2 years handling claims exceeding $500,000.
- Required Skills
- Microsoft Excel
Requirements
- Have a bachelor’s degree or equivalent.
- Have at least 5 years of property claims adjusting experience; 2 or more years in commercial property claims is preferred.
- Have 4 years of commercial claims experience, including 2 years handling claims exceeding $500,000.
- Hold certification in CEA and Fair Claims Settlement Practices.
- Have a comprehensive understanding of insurance policy contracts, applicable statutes, and claims processes.
- Have working knowledge of Microsoft Office, particularly Word and Excel.
- Bring strong analytical, investigative, negotiation, and decision-making skills to evaluate complex claims and recommend settlements.
- Have strong written and verbal communication skills and the ability to collaborate with adjusters, legal counsel, and internal stakeholders.
Responsibilities
- Manage a portfolio of commercial property claims from initial assignment through final resolution, primarily handling claims exceeding $500,000.
- Review independent adjuster investigations to assess coverage, verify claim validity, and determine appropriate resolutions.
- Evaluate and adjust loss reserves, review correspondence and reports, verify policy coverage, and authorize payment requests and recommendations.
- Investigate, assess, and adjust claims to support fair and timely settlements.
- Collaborate with internal stakeholders and legal counsel on claims involving litigation.
- Monitor independent adjuster files for compliance with applicable guidelines and claims-handling standards.
- Analyze settlement data and supporting documentation to confirm claim accuracy and validity and ensure settlements follow established procedures.
- Maintain compliance with Department of Insurance requirements and internal claims procedures.
- Identify potential indicators of fraud or illegal activity and refer cases through appropriate internal processes.
- Negotiate settlements promptly, ensuring payments reflect covered losses while protecting the insurer from invalid claims.
View Full Description & ApplyYou'll be redirected to the employer's site
