Job Description

Job Description

Job Description

General Purpose of Position:

The Property Claims Adjuster role provides prompt, courteous, and fair claim service on small to moderate severity claims. This position will be responsible for investigation of property claims to determine coverage, corresponding with customers, obtaining important claims information, and negotiating damage settlements. The role will be documenting claim activity into the claim system and following processes that provide fair settlements or claim resolutions, customer satisfaction and excellent cost management.

Essential Functions and Responsibilities:

The following are the usual, basic, and essential functions of the position. These functions are not to be construed as an exhaustive list of all responsibilities, duties, and skills required.

• Acknowledge claim assignments; confirm policy coverage, direct adjustment of claims
• Interpret policy, make decisions using independent judgment on small to moderate claims and determine if coverage applies to claims submitted
• Investigate claims to determine validity and verify extent of damage
• Negotiate settlements and authorize payments within scope of authority, settling claims timely, and in the most cost-effective manner
• Investigate and settle claims promptly and equitably under general supervision
• Develop and maintain working relationships with approved vendors and experts
• Keep abreast of claim and related legal principles, tax requirements, as well as underwriting rules and procedures
• Keep the electronic claim file properly documented with accurate, clear and timely information and reports that reflect the adjustment activities and substantiate any payments made.
• Ensure that all assigned claims are concluded promptly and equitably

General:

• Promote a culture of personal responsibility, open communications and continuous improvement
• Ensure fair and ethical policies and practices in all relationships and operations
• Exhibits leadership experience and skills
• Exceptional problem-solving ability

Requirements:

• Bachelors degree or equivalent combination of relevant education and experience
• Minimum One to Three (1-3) years of experience adjusting small to moderate claims in a company environment
• As required by regulatory entities, relevant professional designations, and certifications highly desirable. Ability to acquire insurance licenses as required by role. Florida License in good standing is required; and ability to acquire other needed Adjuster License(s) within 3 months of hire
• Previous catastrophic claim handling preferred, but not required
• Excellent verbal/written communication skills and organizations skills, including presentation skills
• Strong computer skills (i.e. Word, Excel, Access, Outlook, Web based programs)
• Experience using Claim Management Systems
• Ability to manage relationships in a fast-paced environment, while demonstrating persistence and problem-solving skills
• Interpersonal and leadership skills - servant leadership, collaboration, facilitation, and negotiation skills
• Emotional intelligence, self-awareness, confidence, ability to manage conflict, empathy
• Ability to read/write/speak English & Spanish encouraged to apply

Qualifications: To perform this job successfully, an individual must be able to perform each essential function and responsibility satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Certificates or Licenses : As required by regulatory entities. Relevant professional designations or skill certifications are desirable.

Physical Demands and Work Environment : While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is regularly required to stand; walk; reach with hands and arms and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The noise level in the work environment is usually quiet. The employee may be required to use any or all of the following on a daily basis: PC, telephone, cell phone, scanner, fax, printer and other office equipment.

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