Senior Casualty/Property Liability Adjuster

5 days ago

Atlanta, Georgia, United States Engle Martin Full time
Job Description

Engle Martin and Associates 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 Senior Casualty/Property Liability Adjuster is responsible for managing all aspects of liability claims in a variety of business classes. This includes determining and communicating the extent of liability or damage associated with each claim. The adjuster assists the client in fulfilling its obligation to policyholders and maintaining the client's claims processing functions.

Key Responsibilities:
  • Determine the appropriate methods and extent of needed investigation for all assigned claims, including conducting investigations through field visits and phone contact, obtaining contracts, job files, and appraisals, and conducting insured, witness, and claimant interviews and/or statements.
  • Use knowledge of property and construction, and/or knowledge of the specific industry or business affected, to conduct property inspections and photograph claim sites as necessary to depict and substantiate losses or damage.
  • Investigate insurance claims in a variety of settings, including retail establishments, office buildings, residences, condominiums, apartments, hotels, corporate facilities, governmental facilities, schools, clinics, or hospitals, and assess loss or damage resulting from various events.
  • Conduct thorough interviews or other methods to obtain necessary information from the claimant and 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.
  • Apply a thorough understanding of insurance policies and policy interpretation to properly conduct an investigation, establish appropriate loss estimates based on all relevant information and findings, provide coverage recommendations, and draft coverage letters, if requested by the client.
  • Work cooperatively with expert witnesses, attorneys, underwriting department staff, investigators, vendors, and carriers' examiners as needed to conduct investigations, confirm findings, and support evaluations.
  • Ensure the accuracy of the information collected and reported and guard against fraudulent claims, based on critical issues identified and accurate conclusions drawn.
  • Follow all applicable policies, procedures, and practices, and incorporate sound judgment in formulating recommendations and completing evaluations and reports.
  • Effectively use software systems, such as Xactimate, as necessary to produce accurate estimates.
  • Prepare accurate, clear, thorough, and concise reports and letters to insurance carriers, providing appropriate conclusions and recommendations.
  • Arrange contractors' estimates, and other specialists' appointments, as necessary, and attend trials, arbitration, ADR, and face-to-face negotiations, as required.
  • May be called upon to handle more complex claims involving various situations, including contractor liability, products liability, and construction defects, with the appropriate level of guidance.
  • Ability to identify claims whose complexity warrants escalation to a more senior level adjuster.
  • Identify and address third-party liability and tender opportunities through investigation and/or contract interpretation.
  • Maintain accurate, thorough field notes, journal entries, and time and expense records, and submit reimbursement reports in keeping with organization and client policies, procedures, and practices, and within accepted industry standards.
  • Apply knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the client.
Requirements:
  • Baccalaureate degree in a related field, or demonstration of equivalent experience with five (5) plus years' experience in related claims handling preferred.
  • Active license or ability to promptly obtain such in multiple jurisdictions.
  • Fundamental understanding of claims adjudication knowledge of commercial and residential construction industries and/or basic knowledge of automotive and transportation industry desirable.
  • Basic knowledge of casualty claims law and jurisdictional issues.
  • Fundamental understanding of how to perform code investigations.
  • Fundamental knowledge of estimate building through Xactimate.
  • Understanding of the Commercial General Liability Policy Form.
  • Sound negotiating, conflict resolution, and persuasion abilities.
  • Ability to draft coverage letters with some supervision.
  • Research and investigative abilities have been demonstrated at an Intermediate level.
  • Ability to interpret written technical information.
  • Proficient written and oral communication skills.
  • Time management and organizational skills.

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