Determine, evaluate, investigate, negotiate and resolve quota share and single insurer property claims
Verify coverage under the applicable Commercial Property insurance policy
Coordinate with field adjusters and experts for inspections or further investigation
Review supporting documentation submitted for the claims and properly note the details of the review within the file
Analyze damage estimates and repair costs as well as review vendor invoices for accuracy
Identify potential issues such as fraud, duplicate claims, or policy exclusions
Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated
Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters
Handle appeals or disputes related to claim decisions
Attend mediations and settlement conferences as necessary
Direct and monitor defense counsel to settle litigated claims
Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected
Present and explain claim overviews to business partners on a monthly basis
Participate in audits and quality control reviews
Stay updated on industry trends, policy changes, and best practices

Results-oriented professional with strong organizational skills
Strong knowledge in Commercial Property Claims management
Ability to verify coverage under the applicable Commercial Property insurance policy
Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs
Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines
Ability to review and interpret routine and complex policy contracts and coverage
Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation
Ability to prepare detailed reports and recommendations to clients
Ability to analyze and research legal and claim trends
Possess sound analytical and negotiation skills

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
Paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements

Commercial Property Claims Adjuster

Key skills