Commercial Property Claims Adjuster

Key Responsibilities

• Determine, evaluate, investigate, negotiate and resolve quota share and single insurer property claims in accordance with legal, regulatory and internal standards. Including but not limited to:
  • Verify coverage under the applicable Commercial Property insurance policy.
  • Coordinate with field adjusters and experts for inspections or further investigation.
  • Review supporting documentation submitted for the claims and properly note the details of the review within the file.
  • Analyze damage estimates and repair costs as well as review vendor invoices for accuracy. 
  • Identify potential issues such as fraud, duplicate claims, or policy exclusions.
  • Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated.
• Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters.
• Handle appeals or disputes related to claim decisions.
• Attend mediations and settlement conferences as necessary.
• Direct and monitor defense counsel to settle litigated claims.
• Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected.
• Present and explain claim overviews to business partners on a monthly basis. 
• Participate in audits and quality control reviews.
• Stay updated on industry trends, policy changes, and best practices.
• Other duties as assigned

Skills, knowledge & expertise

• Understand the role of Third-Party Administration in claims management.
• Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs.
• Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines.
• Ability to review and interpret routine and complex policy contracts and coverage.
• Ability to review and interpret estimates.
• Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.
• Ability to prepare detailed reports and recommendations to clients.
• Ability to analyze and research legal and claim trends.
• Possess sound analytical and negotiation skills

Equal Employment Opportunity & Legal Notices

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
• Paid holidays
• Life insurance and short‑term and long‑term disability coverage