Senior Property & Casualty General Adjuster (Complex Claims)

Raphael & Associates; New York (NY); On-site; USD 120,000 - 170,000; Full time

Job summary

Raphael & Associates is seeking an experienced Executive General Adjuster in New York to investigate, evaluate, and manage complex property and casualty claims. The role emphasizes large-loss handling, expert analysis of coverage and liability, and delivering top-tier client service.

You will review policies, conduct interviews, inspect properties, and coordinate with engineers and attorneys to resolve claims, while maintaining reserves and supporting catastrophe response as required.

Qualifications

• Bachelor’s degree or equivalent industry experience.
• Appropriate state adjusting licenses as required.
• Minimum of five (5) years of property and casualty claims adjusting experience, including handling complex or large-loss claims.
• Experience with commercial, residential, and catastrophe claims preferred.
• Strong analytical, investigative, and negotiation skills.
• Excellent written and verbal communication abilities.
• Ability to manage multiple priorities and deadlines effectively.
• Strong customer service and relationship management skills.
• Detail-oriented with strong organizational skills.
• Proficiency with Microsoft Office and claims management systems.

Responsibilities

• Investigate and evaluate insurance claims to determine coverage, liability, and extent of damages.
• Review insurance policies, claim documentation, and supporting records to assess claim validity and exposure.
• Conduct interviews with insureds, claimants, witnesses, contractors, and other involved parties.
• Inspect damaged property and evaluate repair, replacement, and remediation costs.
• Coordinate with engineers, consultants, attorneys, contractors, and other experts as needed.
• Prepare detailed reports documenting findings, recommendations, and claim resolutions.
• Negotiate settlements within established authority and recommend further action when necessary.
• Maintain accurate reserves and monitor claim financials throughout the life of the file.
• Participate in mediations, hearings, appraisals, and litigation support activities when applicable.
• Ensure compliance with client guidelines, carrier requirements, and industry regulations.
• Provide responsive communication and superior customer service to clients, insureds, and business partners.
• Travel as required to inspect losses and support catastrophe response efforts.
• Support special projects and operational initiatives as assigned.
• Maintain current knowledge of industry trends, policy forms, and claims practices.

Skills

Analytical skills

Negotiation

Communication

Organization

Team collaboration

Problem solving

Education

Bachelor’s degree or equivalent

NY adjusting license

Tools

MS Office

Claims management systems

Job description

Raphael & Associates is seeking an experienced Executive General Adjuster in New York to investigate, evaluate, and manage complex property and casualty claims. The role emphasizes large-loss handling, expert analysis of coverage and liability, and delivering top-tier client service.

You will review policies, conduct interviews, inspect properties, and coordinate with engineers and attorneys to resolve claims, while maintaining reserves and supporting catastrophe response as required.