Senior CasualtyGeneral Liability Property Damage Adjuster - Boston Massachusetts

Job Description

TITLE: Senior Casualty/General Liability Property Adjuster

DEPARTMENT: National Casualty Practice

REPORTS TO: Casualty Claims Manager

STATUS: Regular fulltime; exempt

This is a field position. The candidate should be located near Boston MA and have ability to work remotely when not in the field.

SUMMARY OF JOB PURPOSE

The Senior Casualty/General Liability Property Adjuster manages all aspects of liability claims in a variety of business classes effectively determining and communicating the extent of liability or damage associated with each claim. The incumbent assists the client in fulfilling its obligation to policyholders and maintaining the clients claims processing functions including evaluating potential coverage issues liability and evaluation of damages risk transfer opportunities litigation and settlement matters within the limits of assigned authority levels and in compliance with applicable legal and regulatory requirements. The claims assigned to the adjuster are based on their experience and demonstrated aptitude for handling large or complex matters with minimal supervision.

PRIMARY JOB RESPONSIBILITIES

• Determines 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; conducting insured witness and claimant interviews and/or statements; complete site inspections; scope measure and write estimates and use other factfinding methods to evaluate liability damages and proper coverage.
• Uses 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 lack thereof.
• Investigates insurance claims in a variety of settings including but not limited to retail establishments office buildings residences condominiums apartments hotels corporate facilities governmental facilities schools clinics or hospitals; assess loss or damage resulting from various events including but not limited to inclement or catastrophic weather construction defect and fire.
• Conducts 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 assess the extent of the loss fully and accurately.
• Applies 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 cover letters if requested by the client.
• Applies an intermediate level of understanding of insurance policies and policy interpretation to properly investigate provide coverage recommendations and draft coverage letters if requested by the client with minimal supervision.
• Works cooperatively with expert witnesses attorneys underwriting department staff investigators vendors and carriers examiners as needed to conduct investigations confirm findings and support evaluations.
• Ensures the accuracy of information collected and reported and guards against fraudulent claims based on critical issues identified and accurate conclusions drawn.
• Follows all applicable policies procedures and practices and incorporates sound judgement in formulating recommendations and completing evaluations and reports.
• Effectively use software systems such as Xactimate as necessary to produce accurate estimates.
• Prepares accurate clear thorough and concise reports and letters to insurance carriers providing appropriate conclusions and recommendations.
• Arranges contractors estimates and other specialists appointments as necessary. Attends trials arbitration ADR and facetoface negotiations as required.
• Assists with monitoring quality of services rendered by appraisers law firms structured settlement vendors rehabilitation vendors and other experts or consultants.
• 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.
• Identifies and addresses third party liability and tender opportunities through investigation and/or contract interpretation.
• Maintains accurate thorough field notes journal entries and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies procedures and practices and within accepted industry standards.
• Applies knowledge of both timeandexpense and feeforservice procedures according to the stipulations of the agreement with the client.
• Functions as an effective member of the team assisting coworkers as needed and learning from colleagues and supervisors; supports the goals of the department division and organization; participate in special assignments and activities as required or approved.
• Establishes and maintains positive working relationships with other members of the organization across departments divisions and locations.
• Maintains the confidentiality of proprietary and sensitive information exercising sound judgment and discretion in any disclosure of information related to EM and its endeavors.
• Upholds the values of Engle Martin and Our Foundation.
• Adheres to all applicable State Insurance Regulation requirements and other applicable laws regulations and standards; assumes personal responsibility for maintaining the requisite state licensure for the state(s) assigned.

REQUIRED EDUCATION & EXPERIENCE

• Bachelors degree in a related field or demonstrated equivalent experience
• At least three years of experience in related claims handling preferred.
• Active license or ability to obtain such in multiple jurisdictions

DESIRED KNOWLEDGE SKILLS & ABILITIES

• Proficiency in a variety of office software including Microsoft Office Suite (including but not limited to Word Excel PowerPoint Outlook and Adobe)
• Skills in using wordprocessing spreadsheet and database software
• Fundamental understanding of claims adjudication processes; 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 codes 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
• Skills in analyzing interpreting synthesizing prioritizing and reporting pertinent information discerning the essential from the nonessential
• Proficient written and oral communication skills
• Effective time management and organization skills
• Basic mathematical and statistical skills
• Ability to interpret policies and other written technical information
• Trustworthiness integrity and personal accountability and adherence to standards of ethical behavior and professional conduct
• Commitment to confidentiality and ability to discretely handle sensitive information
• Keen service orientation and customer service skills
• Detailoriented and the ability to research investigate and problem solve
• Commitment to professional and personal growth and development
• Teamoriented work style

WORKING CONDITIONS

Work is generally performed in a typical office environment or at loss sites with limited exposure to harsh weather conditions loud internal or external noise fumes or significant temperature changes. Occasional overnight and extended travel in a work and/or training capacity may be required.

PHYSICAL ACTIVITIES AND REQUIREMENTS

In addition to the working conditions and associated physical activities and requirements above the incumbent may be required to climb balance stoop kneel crouch crawl reach stand walk push pull lift finger grasp or feel especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds including a ladder.

Periodic driving is required; visual acuity to prepare and read detailed hard copy and electronic documents ability to speak and to hear the spoken word in normal facetoface and telephonic business communications; ability to safely operate a motor vehicle in a work capacity.

The above is intended to describe this jobs general requirements. It is not to be interpreted as a complete statement of duties responsibilities or physical requirements. This job description does not restrict our managers right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions and receive other benefits and privileges of employment in accordance with applicable law.

Engle Martin is an Equal Employment Opportunity (EEO) employer. We are committed to building growing and sustaining a diverse and equitable workforce while promoting Our Foundation and core values. We embrace a welcoming culture that celebrates diverse talent individual identity different points of view and experiences. We support respect and value every individuals unique opinion beliefs and abilities to better serve our clients trading partners workforce and communities.