At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
- This position is eligible to work from home in Central and Eastern Region states
Essential Functions :
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 compensabilityPerforms field inspections on large and complex commercial property claims as applicableCollaborates with independent adjusters or Large Loss Specialists as necessary on large and complex claims as neededInitiates timely contact with customers and thoroughly explains the claim processOrganizes 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 reinspectionObtains statements from insureds, claimants, witnesses, and all other pertinent partiesDocuments claims activities, reserve analysis, summaries of reports in the claim systemCoordinates the prompt replacement and / or repair of damaged property with vendor services, such as contractors, emergency repair, remediation, and demolition when appropriateRecommends 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 approvedCompletes thorough analysis of pertinent facts and sets and maintains timely, adequate reserves in accordance with the company reserving philosophy and methodology to cover company exposureRe-evaluates claim as new facts are identified through the investigation and repair processAnalyzes business records, such as profit and loss statements, tax forms, financial forecasts, and payroll records to estimate the loss of business incomeSelects forensic accountant for uncommon exposures when necessarySecures all necessary official reports, claim forms, and pertinent documentsReviews bills, invoices, and receipts, including legal and litigation related expenses, for accuracy and appropriatenessNotifies all parties involved that legally require appropriate noticeNotifies the Claims Supervisor of claims which require assignment to more senior level team memberNegotiates, 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 claimsEvaluates cause of loss and writes detailed estimates for cost of repairs and value of damaged property, including reviewing discrepancies identifiedDrafts and sends reservation of rights and denial letters upon manager approvalCommunicates with insureds / claimants / attorneys to negotiate the settlement of claimsIdentifies potential fraudulent claims and refers cases to Special Investigation Unit (SIU) as necessary, participating in any subsequent subrogation and SIU proceedingsDrafts and issues settlement documents and timely payments, including Statements of Loss and Proof of Loss, and verifies accuracy and compliant documentationAssists as needed in the coordination and preparation of cases involved in mediations, appraisals, arbitrations, and lawsuitsCollaborates with impacted departments :Submits referrals to the Estimatics, SIU, Large Loss Claims, Bond, Subrogation, and Coverage Counsel as appropriatePrepares risk reports for Underwriting and Risk ImprovementReviews coverage intent and policy activity with UnderwritingReviews account inspection information with Risk ImprovementHandles referrals of property or property damage claims from other units or departmentsReviews and audits property estimates written by independent adjusters and contractors for accuracy and the most cost-effective repair approachActs 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 techniquesParticipates in projects as necessaryEducation & Experience :
Bachelor's degree or equivalent relevant experienceEight years of property claims adjusting experience or related experienceRelevant insurance designations preferredKnowledge, Skills & Abilities :
Exceptional knowledge of best claims practices used to resolve the most serious and complex property claimsExcellent knowledge of commercial insurance contracts and procedural lawsExcellent knowledge of computers and claims systemsAbility to obtain all applicable state licensesExceptional organizational and empathetic interpersonal skillsExceptional written and verbal communication skillsThorough investigative and problem-solving abilitiesAbility to maintain confidentialityOccasional travel may be required; a valid driver's license with an acceptable motor vehicle report per company standards required if drivingOur employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.
