Property Claims Specialist

2 days ago

🌾 Iowa – Remote

Although this job is listed in Iowa, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

🔴 Lead

🔒 Insurance

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EMC Insurance Companies

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EMC Insurance Companies is a mutual insurance firm providing specialized business insurance solutions. They focus on commercial property insurance, liability insurance, workers' compensation, and business owners' policies. With a strong emphasis on personalized service, EMC collaborates closely with local agents to deliver comprehensive and tailored coverage. EMC is committed to understanding the unique challenges faced by its policyholders, offering risk management and loss control resources to help businesses safeguard their assets. Known for their dedicated partnerships and exceptional customer service, EMC ensures that businesses are prepared for the unexpected with their superior insurance solutions.

1001 - 5000 employees

Founded 1911

📋 Description

• Promptly investigates and evaluates large and complex commercial property claims across multiple states and reinsured cyber claims as assigned • Reviews and evaluates the claim notice, lawsuits, contracts, state statutes, and policies to verify the appropriate coverage, deductibles, claim payee/mortgagees, and determines compensability • Performs field inspections on large and complex commercial property claims as applicable • Collaborates with independent adjusters or Large Loss Specialists as necessary on large and complex claims as needed • Initiates timely contact with customers and thoroughly explains the claim process • Organizes appropriate experts to ensure urgent matters are addressed, such as initial remediation, temporary restoration, business continuation either at the damaged location or at a new temporary business site, preserving evidence, securing origin and cause experts, various engineers, general and subcontractors etc., and multi-party reinspection • Obtains statements from insureds, claimants, witnesses, and all other pertinent parties • Documents claims activities, reserve analysis, summaries of reports in the claim system • Coordinates the prompt replacement and/or repair of damaged property with vendor services, such as contractors, emergency repair, remediation, and demolition when appropriate • Recommends the use of appropriate experts, such as general contractors, certified public accountants, engineers, or cause and origin experts, to assist in evaluation and adjustment of loss, and coordinates work with experts as approved • Completes thorough analysis of pertinent facts and sets and maintains timely, adequate reserves in accordance with the company reserving philosophy and methodology to cover company exposure • Re-evaluates claim as new facts are identified through the investigation and repair process • Analyzes business records, such as profit and loss statements, tax forms, financial forecasts, and payroll records to estimate the loss of business income • Selects forensic accountant for uncommon exposures when necessary • Secures all necessary official reports, claim forms, and pertinent documents • Reviews bills, invoices, and receipts, including legal and litigation related expenses, for accuracy and appropriateness • Notifies all parties involved that legally require appropriate notice • Notifies the Claims Supervisor of claims which require assignment to more senior level team member • Negotiates, settles and/or resolves large and complex commercial property claims across multiple states • Resolves questions of coverage and resolves disputes on repair methods and the value of the claims • Evaluates cause of loss and writes detailed estimates for cost of repairs and value of damaged property, including reviewing discrepancies identified • Drafts and sends reservation of rights and denial letters upon manager approval • Communicates with insureds/claimants/attorneys to negotiate the settlement of claims • Identifies potential fraudulent claims and refers cases to Special Investigation Unit (SIU) as necessary, participating in any subsequent subrogation and SIU proceedings • Drafts and issues settlement documents and timely payments, including Statements of Loss and Proof of Loss, and verifies accuracy and compliant documentation • Assists as needed in the coordination and preparation of cases involved in mediations, appraisals, arbitrations, and lawsuits • Collaborates with impacted departments • Submits referrals to the Estimatics, SIU, Large Loss Claims, Bond, Subrogation, and Coverage Counsel as appropriate • Prepares risk reports for Underwriting and Risk Improvement • Reviews coverage intent and policy activity with Underwriting • Reviews account inspection information with Risk Improvement • Handles referrals of property or property damage claims from other units or departments • Reviews and audits property estimates written by independent adjusters and contractors for accuracy and the most cost-effective repair approach • Acts as a technical resource for less experienced property claims team members • Provides guidance to team members with technical estimating issues of a claim and answers questions on coverage, procedure, and repair techniques • Participates in projects as necessary

🎯 Requirements

• Bachelor’s degree or equivalent relevant experience • Eight years of property claims adjusting experience or related experience • Relevant insurance designations preferred • Exceptional knowledge of best claims practices used to resolve the most serious and complex property claims • Excellent knowledge of commercial insurance contracts and procedural laws • Excellent knowledge of computers and claims systems • Ability to obtain all applicable state licenses • Exceptional organizational and empathetic interpersonal skills • Exceptional written and verbal communication skills • Thorough investigative and problem-solving abilities • Ability to maintain confidentiality • Occasional travel may be required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving

🏖️ Benefits

• Outstanding benefits with life, medical, dental, vision and prescription drug coverage • Competitive paid time off plan and a full day of volunteer time off annually • Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards • Professional development and growth opportunities, including tuition reimbursement • Wellness initiatives to improve team member well-being and reduce health insurance costs • Flexibility to dress for your day and opportunities for alternative work arrangements