MDD Forensic Accountants logo
MDD Forensic Accountants

Making Numbers Make Sense

Property and Liability Claims Adjuster

Claims SpecialistClaims SpecialistFull TimeRemoteSeniorTeam 201-500Since 1933H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

2 days ago

Salary

$60K - $75K / year

Seniority

Senior

High School5 yrs expEnglish

Job Description

Property and Liability Claims Adjuster

MDD Forensic Accountants

• Evaluate, investigate, negotiate and resolve commercial / agricultural property claims in accordance with legal, regulatory and internal standards. • Verify coverage under the applicable Property insurance policy. • Coordinate with field adjusters and experts for inspections or further investigation. • Review supporting documentation submitted for the claims and properly note the details of the review within the file. • Analyze damage estimates and repair costs as well as review vendor invoices for accuracy. • Identify potential issues such as fraud, duplicate claims, or policy exclusions. • Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated. • Conduct prompt, accurate investigations of liability claims, interview all relevant parties to obtain loss events facts and to establish liability; handle claims files to final resolutions. • Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values. • Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client per account handling guidelines. • Document and communicate all claim activity timely and effectively which supports the outcome of claim files, in accordance with established procedures; develop and maintain a progressive plan of action. • Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters. • Handle appeals or disputes related to claim decisions. • Utilize a diary system effectively and appropriately to keep claims files current. • Examine and address claim files reserves for accuracy. • Effectively identify, evaluate, and handle risk transfer on liability claims. • Attend mediations and settlement conferences as necessary. • Stay updated on industry trends, policy changes, and best practices. • Maintain current knowledge of laws and statutes pertinent to liability claims handling, maintain CEUs and licensing in current and/or active status, as appropriate. • Perform other duties as assigned.

Job Requirements

  • A minimum of five years handling property, general liability, auto liability, and complex claims with a consistent high level of performance and achievement.
  • Active Florida All-Lines Adjuster License (5-20 or 6-20).
  • Background in both Excess & Surplus Lines (Lloyds) as well as Standard carrier programs.
  • Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.
  • Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines.
  • Ability to review and interpret routine and complex policy contracts and coverage.
  • Ability to prepare detailed reports and recommendations to clients.
  • Possess sound analytical and negotiation skills

Benefits

  • Medical, dental, and vision plans to support your health and that of your family
  • A 401(k) plan with employer matching
  • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
  • Paid holidays
  • Life insurance and short‑term and long‑term disability coverage
  • Paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements

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