Senior Claims Specialist
Westfield Health
Senior Property Claims Adjuster - New York/Long Island
Engle Martin
full-time
Posted on:
Origin: • 🇺🇸 United States • New York
Visit company websiteJob Level
Senior
About the role
- Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites, governmental facilities, schools, clinics, or hospitals; assesses loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, earthquakes, fire, vandalism, or accidents. May be called upon to assess time-element and builders’ risk losses. Uses a knowledge of property and construction, and/or knowledge of the specific industry or business affected, as typically achieved through significant commercial property loss adjusting experience, personally conducts property inspections and photographs claim sites as necessary to depict and substantiate losses or damage, or the lack thereof. Through interviewing or other methods, obtains necessary information from the claimant and from 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. Interacts effectively with, and may be required to coordinate efforts of, diverse team of experts. Works cooperatively with expert witnesses, attorneys, public adjusters, and carrier’s examiners as needed to conduct investigations, confirm findings and support evaluations. Applies a thorough understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings; demonstrates understanding of a variety of coverage and loss types. 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, providing conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially costly losses or involved situations, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations. Effectively uses software systems such as Xactimate as necessary to produce accurate estimates. 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 with accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer. Follows EMA policy and practices and incorporates sound judgment in formulating recommendations and completing evaluations and reports. Prepares and conducts presentations and produces special reports for insurance carriers as assigned or required.
Requirements
- 2-5 years’ experience in commercial property loss adjusting; experience with catastrophe claims; wide range of experience in various classes and types of business risk, including manufacturing, retail, industrial, habitational, and hospitality.
- Ability to understand claims adjudication process with sound knowledge of commercial and residential construction industries.
- Knowledge of property claim law.
- Active license, or ability to promptly obtain such, in the assigned state(s).
