Senior Complex Commercial Property Claims Adjuster

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible.

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more about why you want to be here!

PURPOSE OF THE JOB

The Senior Complex Commercial Property Claims Adjuster is responsible for managing complex claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines.   The Senior Complex Commercial Property Claims Adjuster works with a sense of urgency, understands insurance coverage concepts, and manages the lifecycle of the claim to drive strategic outcomes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Manages and reserves all aspects of an assigned claims inventory to an equitable conclusion.

• Communicates with all relevant parties to the claim including policyholders, agents, attorneys, witnesses or public adjusters to gather information and provide the highest possible level of customer service.

• Investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.

• Analyzes new and transferred losses to design a plan of action in the management of the claim.

• Maintains a good diary system to ensure timely resolution of claims and compliance with state regulations.

• Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.

• Utilizes appropriate resolution methods (e.g., claim payment, negotiations, denials, etc.) to proactively drive results. 

• Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures. 

• Directs defense counsel through the litigation process in accordance with Company litigation guidelines while monitoring legal fees and costs.

• Manages the litigation process and strategizes with defense attorneys

• Makes recommendations for streamlining processes and adopting the industry’s best practices

• Collaborates with team members from various departments for project and process discussions.

• Acts as a Subject Matter Expert (SME) for the department and provides expertise to internal and/or external stakeholders. Shares knowledge and may train others across the organization.

• Provides training and mentorship for less experienced team members.

• Continuously seeks to improve technical skills by attending job related training and tracking current case law. 

Commercial Property Claims (Specific Responsibilities):  

• Manages complex high severity claims  in multiple jurisdictions or nationwide. 

• Analyzes relevant claim documents including policies, estimates, reports, leases, contracts, and bylaws.

• Escalates claim summaries and makes strategic recommendations for approval.

• Researches and analyzes policy language, drafts correspondence with minimal to no guidance for management review.

• Frontloads investigations and moves with urgency by gathering information quickly to assess risk accurately.

• Builds rapport with insureds and their representatives.

• Handles claims against the company and attend related depositions, hearings and settlement conferences as needed.