Desk Property Claims Adjuster

Frankenmuth Insurance; United States; On-site; USD 60,000 - 90,000; Full time

Job summary

Frankenmuth Insurance seeks a claims investigator/adjuster to evaluate and resolve general property, casualty, and workers' compensation claims under limited supervision. The role emphasizes determining liability, coverage, and damages in accordance with policy provisions.

You will review policy language, perform interviews and scene inspections, manage reserves, and coordinate with agents, insureds, claimants and attorneys.

Qualifications

• 4–6 years related experience and/or training, or a bachelor's degree.
• Ability to work legally in the United States; no visa sponsorship available.
• Experience reviewing policy language and evaluating coverage.

Responsibilities

• Investigates claims to determine liability and extent of coverage.
• Obtains information from agents, insureds, claimants, witnesses and others.
• Reviews documentation and monitors outcomes through self-audit processes.
• Provides superior customer service and timely resolution of claims service issues.
• Sets or recommends reserves and prepares claim reports.
• May conduct in-depth interviews and attend settlements or trials.

Skills

Commercial claims handling

Policy language review

Investigative interviewing

Education

Bachelor's degree

Job description

Summary: Under limited supervision and with independent judgment, investigates, evaluates and resolves/disposes of general property, casualty and/or workers compensation claims to determine the extent of company liability; may include determination and evaluation of coverage, compensability liability and damage in accordance with policy provisions by performing the following duties.

• Candidate that has commercial experience handling property 1st party claims within our footprint (NC, SC, KY they have to be licensed)
• Work hours are 9 am – 5:30 pm M-F, handle claims from start to finish, average 40-45 claims per month, must have commercial exp in inland marine, cyber, equipment breakdown, business interruptions, structure loss.
• Need to have the ability to review policy language.

Essential Duties And Responsibilities

• Follows corporate policies, procedures, and fair claims handling practices
• Investigates claims to determine validity and extent of liability, including:
• Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
• Reviews and evaluates documentation, including applications, reports, and statements
• Monitors appropriate claim outcomes through self-audit process
• Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
• Ensures legal, regulatory and fair claims handling compliance
• Sets or recommends reserves based on results of claim investigation.
• Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
• May provide extensive interaction with insureds, agents, claimants, attorneys, and other service providers, including
• Conducts in-depth interviews and/or scene inspections
• Attends settlement conferences and/or trials
• May serve as a member of project teams, contributing to the achievement of project objectives.
• Provides leadership to junior staff by training and providing guidance. May provide input to management regarding junior staff performance.
• Performs other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

Level 5: Four to six years related experience and/or training; or bachelor's degree (B.A.) from four-year college/university; or equivalent combination of education and related experience/training.

A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.