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Lead Property Claims Specialist

2 months ago

Iowa City, Iowa, United States EMC Insurance Full time

At EMC Insurance, you will leverage your expertise as a vital contributor to our team. Expect to gain significant experience while playing a key role in the success of our organization. EMC is committed to attracting and retaining top talent by fostering, developing, and rewarding our employees.

**This role offers the flexibility to work remotely from anywhere in the United States**

Key Responsibilities:

  • Assesses and analyzes claim notifications, legal documents, contracts, and insurance policies to confirm coverage, deductibles, and the legitimacy of claims.
  • Establishes prompt communication with policyholders and claimants to clarify the claims process.
  • Collaborates with necessary professionals to address urgent issues, including initial remediation, temporary restoration, and preservation of evidence.
  • Records claim activities, reserve evaluations, and report summaries in the claims management system.
  • Sets appropriate reserves in accordance with company guidelines and methodologies.
  • Evaluates financial documents such as profit and loss statements and payroll records to determine business income loss.
  • Obtains all required official documentation and claim forms.
  • Addresses coverage inquiries and resolves disputes regarding repair methods and claim valuations.
  • Prepares and dispatches reservation of rights and denial correspondence with managerial approval.
  • Investigates loss causes and generates detailed repair cost estimates, reconciling discrepancies between findings and software-generated estimates.
  • Provides timely and comprehensive updates to agents, policyholders, and claimants regarding claim statuses.
  • Drafts and issues settlement agreements and ensures timely payments, including loss statements and proof of loss, while verifying compliance and accuracy.
  • Reviews and audits property estimates prepared by independent adjusters and contractors for precision and cost-effectiveness.
Qualifications:
  • Bachelor's degree or equivalent relevant experience.
  • A minimum of five years in property claims adjustment.
  • Preferred relevant insurance certifications.
Skills and Competencies:
  • Thorough understanding of claims processes and practices.
  • Strong grasp of insurance contracts, legal terminology, and applicable laws.
  • Proficient in computer systems and claims management software.
  • Ability to secure all necessary state licenses.
  • Exceptional organizational and interpersonal skills with a focus on empathy.
  • Strong written and verbal communication abilities.
  • Outstanding customer service skills.
  • Excellent investigative and analytical problem-solving skills.
  • Ability to maintain confidentiality.
  • Occasional travel may be required; a valid driver's license with a satisfactory driving record is necessary if driving.
**In accordance with the Colorado Equal Pay for Equal Work Act, the salary range for this position for Colorado-based employees is $82,000 to $106,000. Salary ranges for other locations may differ.**

Our hiring practices comply with laws prohibiting discrimination based on race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin, ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status, or any other unlawful consideration.

All EMC locations maintain a tobacco-free environment, including company vehicles.