Description
We are looking for a P&C Property Damage Claims Adjuster to join our team. As a P&C Property Damage Claims Adjuster, you will adjust first and third-party claims of property damage in a timely, accurate, and professional manner.
Key Responsibilities
- Review new claims assignments within 24 hours of assignment/completion of the Plan of Action.
- Contact the insured/claimant within 24 hours of assignment.
- Assign appraisers or coordinate the receipt of damage estimates according to client guidelines or approval.
- Determine if estimates or appraisals are appropriate based upon reported damages and other evidence.
- Gather evidence of damages, set and adjust reserve amount appropriately.
- Interview the claimant, the insured as necessary, and any witnesses.
- Evaluate the facts and law to determine liability and the amounts owed.
- Daily review of workflow and claim system reminders with follow-up and significant progress toward completion of any task set as a reminder, or received in workflow within 72 hours.
- Request payment authorization according to client guidelines and Johns Eastern policy and procedure.
- Follow client guidelines for any claim denial.
- Obtain internal investigation reports from the insured/client when permitted by the client.
- Maintain professional and timely communication with the client.
- Determine degree of Attorney involvement, if any.
- Always act with the utmost good faith in handling of the claim from beginning to closure.
- Set reminders within the claim system for necessary follow-up in an appropriate time frame.
- Accurately record any communication, or activity relevant to the claim, in the claim system notes.
- Follow branch procedures to mirror documents sent to you that are relevant to the claim file including e-mail.
- Meet the requirements of Continuing Education as required for licensure as an adjuster.
- Maintain a 95% claim closure ratio.
- Report to the Excess carrier on any claim that meets the requirements to do so.
- Immediately notify your supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, communicate and cooperate with defense counsel.
- Read and understand the Excess Carrier Insurance Policy.
- Develop a working knowledge of Loss of Business Income and Extra Expense.
- Check for the Claimant's compliance with the provisions in E.S. 627.52 Coverage Team.
- Evaluate the claim for subrogation opportunities and for possible fraud.
- Interview the insured driver or other involved employee.
- Determine the injury status of all persons involved in a crash investigation.
- Obtain a recorded statement immediately if injury is indicated.
- Obtain Certificate of Destruction when called for by Statute (total loss).
- Verify ownership of the vehicle.
- Arrange for the removal of Claimant vehicle from facilities where storage is accruing (with Claimant permission if settlement has not taken place and liability exists upon the Insured).
- Interact with insurance adjusters from other companies, obtaining information needed to process your claim.
- Send out subrogation paperwork to the Claimant and/or their insurer and follow up to completion of subrogation efforts.
- Check for lien holders before making payment.
- Assist others as called upon by the Claims Supervisor/Manager.
Skills, Knowledge & Expertise
- College degree or equivalent experience
- Must have an active FL adjusters license or a state with FL reciprocity
- Maintain CEU credits for Adjuster license
- Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology
- Previous experience with settling bodily injury claims
- Proficiency with Microsoft Office Suite
- Proactive, independent, dependable, and takes initiative with consistent follow through
- Superb written and verbal communication skills conducted in a timely manner with diverse audiences
- Superior time management skills with capability of working with and meeting deadlines
- Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced work environment
- High level attention to detail with ability to utilize decision making and problem-solving skills
- Capable of working collaboratively and independently with minimal supervision
- Exhibit discretion with sensitive and confidential information
Benefits
- Medical, dental, and vision plans to support your health and that of your family
- A 401(k) plan with employer matching
- Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees
- Paid holidays
- Life insurance and short-term and long-term disability coverage
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