Demo

Property Claims / Desk Examiner

C. Winchell Agency, Inc.
Sussex, NJ Full Time
POSTED ON 3/6/2025
AVAILABLE BEFORE 4/4/2025
Property and Casualty Insurance Industry

The Property Claim Representative will receive and review new homeowner and commercial property claims as they are entered into the system. Contact insured to discuss claim. Consider photo estimating or desk adjusting options as appropriate or send out immediately to an Independent Adjuster based on the severity of the loss. Discuss circumstances of the loss and requests pertinent documentation to support same when speaking directly with an insured. Discuss losses assigned out with the assigned adjuster to go over any possible concerns or coverage issues. Receive and review documentation provided directly from insureds, their representatives, contractors, etc. Receive and review reports and documentation provided by Independent Adjusters. Adjust reserves accordingly based on inspections and estimates provided. Confirm coverage of each individual policy by reviewing policy endorsements as they pertain to the documentation provided by the above noted parties. Provide the insured with final figures and settles the claim accordingly once coverage has been confirmed. Request payment based on settlement and closes the file once claim is settled. Review possible supplement requests and/or depreciation holdback payment requests. Prepare and send out various letters including (but not limited to) denial letters, document request letters and general status letters. Review lawsuits that may be filed on a claim. Ensure compliance with timely acknowledgment and answer of suits based on jurisdictional requirements. Review complaint and assigns to an attorney who files answers, etc. Keep in contact with assigned attorney throughout process of suit and court proceedings, etc. Discuss possible settlement when applicable. Answer claims hotline to discuss and answer questions from insureds, agents, etc. Work closely with Casualty Claim Adjusters, Large Loss Claim Specialists, Subrogation Adjusters and outside Counsel.

Bachelor's degree preferred. Microsoft Office Suite (Word, Excel, PowerPoint and Outlook), Guidewire software is a plus. Strong verbal and written communication skills. Strong interpersonal skills. Basic math skills to calculate damages. Analytical and decision making skills.

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