Executive General Adjuster

Job Description

SUMMARY OF JOB PURPOSE: 

The Executive General Adjuster effectively determines and communicates the extent of loss or damage associated with highly complex and/or extensive commercial property claims in a variety of business classes. The Executive General Adjuster assists the insurer in fulfilling its obligation to policyholders and helps safeguard the insurer’s reputation and efficacy. The incumbent in this role frequently manages large or complex loss or damage assessments that may exceed $5,000,000.

PRIMARY JOB RESPONSIBILITIES:

• Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites, governmental facilities, schools, clinics, or hospitals; assess loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, earthquakes, fire, vandalism, or accidents.
• Uses a broad and in-depth knowledge of property and construction, and/or knowledge of the specific industry or business affected, personally conduct property inspections and photograph claim sites as necessary to depict and substantiate losses or damage, or the lack thereof; manage the work of large, diverse teams of experts.
• Through interviewing or other methods, obtain necessary information from the claimant and from experts such as architects, engineers, builders, construction workers, police officers, health care practitioners, accountants, and others to assess the extent of the loss fully and accurately.
• Works cooperatively with expert witnesses, attorneys, public adjusters, and carrier’s examiners as needed to conduct investigations, confirm findings and support evaluations.
• Applies a thorough understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings; demonstrate understanding of a variety of coverage and loss types, including, but not limited to, time-element, builders’ risk, and stock losses; apply knowledge of property claim law and jurisdictional issues as required; apply knowledge of losses involving quota share and layered programs, inclusive of reporting to a broad, geographically dispersed market.
• Recommends the reasonable and proper amount the insurance company should pay on a claim.
• Ensures the accuracy of information collected and reported and guard against fraudulent claims.
• Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, including reports on complex and/or highly detailed claims, providing conclusions and recommendations. Follow established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially unusual or complicated situations, and submit reports and documents in a timely manner and in accordance with insurer’s standards and expectations. Effectively use software systems such as Xactimate as necessary to produce accurate estimates.
• Maintain accurate, thorough field notes, journal entries, and time and expense records as required. Submit reimbursement reports in keeping with organization and client policies, procedures, and practices and with accepted industry standards. Apply knowledge of both time- and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.
• Prepare and conduct client presentations and lead marketing meetings with audiences including the insurance carrier’s senior management members.
• Demonstrate your abilities to work with retailers, wholesalers and carriers to convince parties of your talents to be added as a designated account adjuster to policies that warrant these services. Adjuster will build their own book of business in this method.
• Obtain supervision or guidance as necessary in handling extraordinary claims; follow EM policy and practice, and incorporate expert judgment, in formulating recommendations and completing evaluations and reports.
• Function as an effective member of the team, assisting co-workers as needed and learning from colleagues and supervisors; orient and train administrative and adjusting staff as assigned or approved; support the goals of the department, division, and organization; participate in special assignments and activities as required or approved; demonstrate initiative in the interest of the client and the organization.
• Adhere to all applicable State Insurance Regulation requirements and other applicable laws, regulations, and standards; assume personal responsibility for maintaining the requisite state license for the state(s) assigned.

REQUIRED EDUCATION & EXPERIENCE:

• Bache