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Insurance Claims Investigator

2 months ago


Boston, Massachusetts, United States Engle Martin & Associates Full time
Job Title: General Adjuster

Engle Martin & 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.

We are an Equal Opportunity Employer offering competitive pay and benefits and an environment where teamwork, ongoing professional development, continuous improvement, and exceptional service are valued and rewarded.

Responsibilities:
  • Investigates commercial insurance claims in various settings.
  • Conducts property inspections and photographs claim sites to depict and substantiate losses or damage.
  • Obtains necessary information from claimants and experts to assess the extent of the loss.
  • Works cooperatively with expert witnesses, attorneys, public adjusters, and carrier's examiners to conduct investigations and confirm findings.
  • Applies understanding of insurance policies and policy interpretation to establish loss estimates.
  • Recommends the reasonable and proper amount the insurance company should pay on a claim.
  • Ensures the accuracy of information collected and reported and guards against fraudulent claims.
  • Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers on conclusions and recommendations.
  • Maintains accurate field notes, journal entries, and time and expense records.
Qualifications:
  • Ability to understand claims adjudication process.
  • 6-10 years' experience in insurance-related work.
  • Sound knowledge of transportation industry.
  • Research and investigative abilities; negotiating, conflict resolution and persuasion abilities.
  • Baccalaureate degree in a related field, or demonstration of equivalent knowledge and critical thinking skills.
  • Active license, or ability to promptly obtain such, in the assigned state(s).