Job Description
SUMMARY OF JOB PURPOSE
The Senior Property Examiner provides claims examining services critical to Synergy property accounts, potentially including those related to niche market clients. The incumbent brings an advanced knowledge of insurance coverage related to various business lines. Working closely with a broad scope of stakeholders, the incumbent must be able to handle extensive and/or complex physical damage claims with minimal instruction or supervision. This individual also helps assure that obligations to policyholders are met and that the insurer’s reputation and efficacy are safeguarded.
PRIMARY JOB RESPONSIBILITIES
- Determines coverage and identifies coverage issues related to various claims, applying a thorough understanding of applicable insurance policies and relevant coverage and loss types. Issues appropriate Reservation of Rights and/or declination letters.
- Establishes contact and maintains effective professional relationships with insured parties, agents, brokers, public adjusters, attorneys, and others involved in the claims process.
- Review claims and claim status with clients and brokers as necessary to facilitate the prompt, accurate resolution of claims filed.
- Obtains and prepares the necessary documentation associated with the prompt, accurate, and thorough verification of losses and administration of claims.
- Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations.
- Ensures the accuracy of information collected to identify fraud and proper reporting.
- Reviews status reports and other work products of independent adjusters and makes recommendations to clients based on the information provided.
- Conducts prompt, thorough investigations of claims as required and evaluate damages.
- Assesses subrogation potential of losses and recommend files to subrogation examiners as appropriate.
- Handles moderate to large commercial and residential losses of $250,000.00 and above.
- Initial authority level set at zero pending file reviews by the Property Claims Team Leader to assess the Senior Property Examiner’s ability regarding coverage analysis, damage assessment and proper reserving.
- May provide support to Engle Martin teams in response to catastrophic events.
- Stays abreast of industry information, development, and trends.
- Participates in special assignments and activities as required or approved; demonstrates initiative in the interest of the client and the organization.
- Maintains the confidentiality of proprietary and sensitive information, exercising sound judgment and discretion in any disclosure of information related to Engle Martin and its endeavors.
- Upholds the values of Engle Martin and Our Foundation.
- Adheres to all applicable state insurance regulations and requirements and other applicable laws, regulations, and standards; assume personal responsibility for maintaining a current state adjusting license.
REQUIRED EDUCATION & EXPERIENCE
- At least 8–10 years of experience in commercial property claims examination preferred including Lloyd’s of London experience
- Bachelor’s degree in a related field, or demonstration of equivalent knowledge and critical thinking skills
- Active license or ability to obtain such in multiple jurisdictions within expected time frame
DESIRED KNOWLEDGE, SKILLS & ABILITIES
- Ability to handle severe damages with a medium to large level of severity
- Subject matter expert with the ability to be conversant in multiple claim topics as a resource to the team
- Ability to act as a team lead or step into a supervisory role, if needed
- Detail-oriented, analytical and the ability to research, investigate, and problem solve complex and high severity losses
- Excellent written and verbal communication skills
- Demonstrates effective interpersonal, collaboration, and listening skills to interpret client needs and drive results
- Advanced knowledge base and experience with commercial property claims and identified niche market claims
- Negotiating, conflict resolution, and persuasion abilities
- Trustworthiness, integrity, personal accountability, and adherence to standards of ethical behavior and professional conduct
- Keen service orientation and ability to grasp and respond to varying client needs
- Effective time management and organization skills
- Basic mathematical and statistical skills
- Ability to interpret policies and other written technical information
- Commitment to confidentiality and ability to discretely handle sensitive information
- Skills in using word-processing, spreadsheet, and database software
WORKING CONDITIONS
General working conditions are typically those associated with an indoor office environment; though evening, overnight, and weekend travel may be occasionally required; on-site work may be required during catastrophic events, subjecting incumbent to indoor and/or outside weather and environmental conditions.
PHYSICAL ACTIVITIES AND REQUIREMENTS
In addition to the working conditions and associated physical activities and requirements above, the incumbent is required to stand, walk, reach, finger, grasp, and feel.
The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
The incumbent must be able to speak clearly. The incumbent must be able to perceive the nature of sounds at normal speaking levels with or without correction and to receive and impart detailed information through oral communication, making fine discriminations in sound.
The above is intended to describe this job's 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 manager’s 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 individual’s unique opinion, beliefs and abilities to better serve our clients, trading partners, workforce, and communities.
