Engle Martin & Associates

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Inside Adjuster/ Examiner

Inside Adjuster/ Examiner

ID 
2017-2121
Job Locations 
US-MO-St. Louis
Category 
Claims

More information about this job

Overview

Engle Martin is a leading national independent loss adjusting and claims management provider. We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation. 

 

We are an Equal Opportunity Employer offering competitive pay and benefits and an environment where teamwork, ongoing professional development, continuous improvement, and exceptional service are valued and rewarded.

 

We currently have an outstanding career opportunity for an Inside Adjuster/Examiner for our Performance Mangement Group.  The Inside Adjuster/Examiner provides claims examining services critical to PMG property accounts, potentially including those related to niche market clients.  The incumbent brings a sound 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.  

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.
  • Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, including reports on complex and/or highly detailed claims, providing conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially unusual or complicated 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. Applies in-depth knowledge and skills related to a wide variety of loss types, including but not necessarily limited to time element, builders’ risk, and stock losses.
  • Establishes contact and maintains effective professional relationships with insured parties, agents, contractors, brokers, EMA field adjusters, attorneys, and others involved in the claims process.  Review claims and claim status with insured, clients and brokers as necessary to facilitate the prompt, accurate resolution of claims filed.
  • Ensures the accuracy of information collected and reported and guard against fraudulent claims.
  • Reviews status reports and other work products of EMA field adjuster and makes recommendations to clients and/or insured based on the information provided.
  • Provides support to the EMA teams in response to catastrophic events.

 

Qualifications

  • Baccalaureate degree in a related field, or demonstration of equivalent knowledge and critical thinking skills.
  • 5-10 years' experience in commercial property adjusting or other insurance-related work.
  • Active resident Adjuster’s license or ability to obtain such within expected time frame.
  • Proficient in Xactimate software and video collaboration.

 

Ability to understand claims adjudication process; sound knowledge base and experience with commercial property claims and identified niche market claims. Skills in analyzing, interpreting, synthesizing, prioritizing, and reporting pertinent information; research and investigative abilities; negotiating, conflict resolution and persuasion abilities; sound written and oral communication skills; trustworthiness, integrity, and 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; problem-solving; sound judgment and objectivity; care, compassion, and respect for co-workers and clients; commitment to professional and personal growth and development; commitment to continuous improvement ; team-oriented work style; attention to detail and accuracy; effective time management and organization skills; basic mathematical and statistical skills; ability to interpret policies and other written technical information; gross- and fine-motor skills; commitment to confidentiality and ability to discretely handle sensitive information; skills in using word-processing, spreadsheet, and database software.