Executive General Adjuster-EGA

3 weeks ago

Charleston, United States Engle Martin & Associates Full time
Job Description

Engle Martin is a leading national independent loss adjusting and claims management provider. We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation.

The Executive General Adjuster-EGA effectively determines and communicates the extent of loss or damage associated with highly complex and/or extensive commercial property claims in a variety of business classes. The EGA assists the insurer in fulfilling its obligation to policyholders and helps safeguard the insurer's reputation and efficacy. The incumbent in this role frequently manages large or complex loss or damage assessments that may exceed $5,000,000.

Responsibilities:

• Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites, governmental facilities, schools, clinics, or hospitals; assess loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, earthquakes, fire, vandalism, or accidents.

• Uses a broad and in-depth knowledge of property and construction, and/or knowledge of the specific industry or business affected, personally conduct property inspections and photograph claim sites as necessary to depict and substantiate losses or damage, or the lack thereof; manage the work of large, diverse teams of experts.

• Through interviewing or other methods, obtain necessary information from the claimant and from experts such as architects, engineers, builders, construction workers, police officers, health care practitioners, accountants, and others to fully and accurately assess the extent of the loss.

• Works cooperatively with expert witnesses, attorneys, public adjusters, and carrier's examiners as needed to conduct investigations, confirm findings and support evaluations.

• Applies a thorough understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings; demonstrate understanding of a variety of coverage and loss types, including, but not limited to, time element, builders' risk, and stock losses; apply knowledge of property claim law and jurisdictional issues as required; apply knowledge of losses involving quota share and layered programs, inclusive of reporting to a broad, geographically dispersed market.

• Recommends the reasonable and proper amount the insurance company should pay on a claim.

• Ensures the accuracy of information collected and reported and guard against fraudulent claims.

• Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, including reports on complex and/or highly detailed claims, providing conclusions and recommendations. Follow established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially unusual or complicated situations, and submit reports and documents in a timely manner and in accordance with insurer's standards and expectations. Effectively use software systems such as Xactimate as necessary to produce accurate estimates.

• Maintain accurate, thorough field notes, journal entries, and time and expense records as required. Submit reimbursement reports in keeping with organization and client policies, procedures, and practices and with accepted industry standards. Apply knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.

• Prepare and conduct client presentations and lead marketing meetings with audiences including the insurance carrier's senior management members.

Qualifications:

• Fifteen+ years' experience in commercial property loss adjusting. experience with catastrophe claims; wide range of experience in various classes and types of business risk, including manufacturing, retail, industrial, habitational, and hospitality.

• Baccalaureate degree in a related field, or demonstration of equivalent knowledge and critical thinking skills.

• Ability to understand claims adjudication process.

• Thorough knowledge of commercial and residential construction industries.

• Advanced knowledge of property claims law and jurisdictional issues.

• Skills in analyzing, interpreting, synthesizing, prioritizing, and reporting pertinent information and discerning the essential from the non-essential.

• Research and investigative abilities; negotiating, conflict resolution and persuasion abilities.

• Active license, preferably multi-jurisdictional, or ability to promptly obtain such, in the assigned state(s).

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