Commercial Property Claims Examiner III
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Job Description
Commercial Property Claims Examiner managing and authorizing complex commercial insurance claims investigated by independent adjusters. Focusing on claims over $500,000 with a detailed examination process.
Responsibilities:
- Manage a caseload of commercial property claims from assignment through resolution.
- Examine commercial claims investigated by independent adjusters to determine the extent of insurance coverage and validity of the claims.
- Review and adjust commercial loss reserves, correspondence, reports, verify coverage and authorize payments submitted by independent adjusters.
- Collaborate with internal personnel and/or legal counsel on claims involving litigation.
- Investigate, evaluate, and adjust claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
- Oversee independent adjuster files to ensure they have followed CFP IA Guidelines.
- Verify and analyze data used in settling claims to ensure validity and that settlement is in accordance with company practices and procedures.
- Maintain compliance with the Department of Insurance and Company procedures.
- Identify fraud or illegal activity indicators and follow internal processes to refer the claims to the appropriate personnel for follow up.
- Promptly negotiates settlements ensuring the settlement reflects the insured losses while confirming the insurer is protected from invalid claims.
Requirements:
- Bachelor’s degree or equivalent
- 5+ years of property claims adjusting experience, including 2+ years commercial property claims preferred.
- Excellent oral and written communication skills.
- Working experience with MS-Office (especially Word and Excel).
- Comprehensive understanding of policy contract/statutes and claims processes.
- Certified in CEA and Fair Claims Settlement Practices.
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