Claims Complex Property Adjuster

This is a fully remote position, open to applicants in California.

📋 Description

• Assist in the Property Claims operation by managing complex claims reported under Homeowner policies issued by the Interinsurance Exchange.

• Analyze First Notice of Loss reports.

• Perform loss investigations, assess coverage and damages, create negotiation strategies, and settle claims.

• Gather and secure statements from insured individuals, claimants, and witnesses.

• Conduct telephone investigations to evaluate coverage and damages while differentiating between allegations and facts.

• Assess policy obligations by analyzing liability and damage components.

• Maintain appropriate activity levels and service standards.

• Communicate effectively with members, insured parties, claimants, vendors, and both internal and external departments.

• Articulate policy coverages, benefits, and claims processes clearly, both verbally and in writing.

• Identify and address intricate coverage and subrogation matters.

• Evaluate, review, and negotiate first-party claim settlements within the established settlement authority across various markets.

• Assess personal property, property damage, coverage issues, loss of use, arbitration responses, damage evaluations, and utilize claims technology/tools.

• Identify and address potential issues that may arise during an audit.

• Mentor and assist in training less experienced staff and provide coaching on case files.

• Attend and engage in legal proceedings.

• Collaborate with in-house and external counsel on litigated files.

• Deliver sworn expert testimony in courtroom or deposition contexts.

• Prepare detailed formal reports on high-profile claims for senior management review.

• Respond promptly to customer inquiries and issues.

⛳️ Requirements

• 7-9 years of prior experience in claims handling (Required).

• Bachelor's degree or equivalent combination of education and experience (Preferred).

• 7-9 years of experience in property claims administration (Preferred).

• Proficient understanding of claims administration best practices and procedures.

• Advanced knowledge of insurance principles, coverage investigation, scope and damage assessment, negligence, and subrogation concepts.

• Proficient in Microsoft Office suite, general computer software, and claims software.

• In-depth comprehension of building and vehicle repair processes and third-party liability issues.

• Strong leadership skills among colleagues.

• Excellent organizational and planning skills.

• Superior oral and written communication abilities.

• Strong interpersonal skills.

• Valid Driver's License, satisfactory Department of Motor Vehicles record, and minimum liability insurance as mandated by the State (Required).

• Chartered Property Casualty Underwriter certification (Preferred).

• Associate in Claims certification (Preferred).

• An insurance/claims adjuster license may be necessary for claims administration in certain states.

🏝️ Benefits

• Comprehensive health coverage including medical, dental, and vision.

• 401(K) savings plans with company matching contributions.

• Pension plan.

• Tuition assistance program.

• Floating holidays and paid time off for community volunteer activities.

• Paid parental leave.

• Wellness programs.

• Employee discounts on memberships, insurance, travel, entertainment, services, and more!

• Incentive program based on the achievement of organizational, team, and individual performance goals.

• Occasional travel for off-site business meetings or conferences.