Property Claims Adjuster II

Investigates and evaluates medium-sized and moderately complex commercial property and reinsured cyber claims, reviewing claim notices, policies, contracts, statutes, lawsuits, and reports to confirm coverage, deductibles, and payees.

Conducts field inspections as needed and coordinates internal and external experts (e.g., engineers, contractors, remediation vendors) to manage mitigation, temporary restoration, business continuity, evidence preservation, and cause-and-origin analysis.

Initiates timely contact with insureds, claimants, and other parties to explain the claims process and meet legal notice requirements.

Obtains statements from insureds, claimants, witnesses, and other relevant parties and secures all required claim forms and documentation.

Reviews estimates, invoices, receipts, and financial records (profit and loss statements, tax forms, payroll, forecasts) to assess property damage and business income loss.

Documents claim activity, summaries, and reserve analyses in the claim system and establishes timely, accurate reserves in accordance with company methodology.

Escalates claims exceeding authority to the Claims Supervisor for review or reassignment.

Resolves issues related to coverage, causation, valuation, and repair methodology and communicates claim status with insureds, claimants, agents, and attorneys.

Prepares and reviews repair estimates using research and estimating software, addressing discrepancies as identified.

Negotiates and settles claims within assigned authority and recommends settlements to management when outside authority.

Drafts and issues reservation of rights and denial letters with approval and prepares settlement documents, statements of loss, proof of loss, and timely payments in compliance with requirements.

Identifies and pursues recovery opportunities, including subrogation and legally compliant evidence preservation.

Identifies potential fraud and refers claims to the Special Investigations Unit (SIU) when appropriate.

Supports mediations, appraisals, arbitrations, and litigation preparation as needed.

Submits referrals to Estimatics, SIU, Bond, Subrogation, Legal, Underwriting, and Risk Improvement as appropriate.

Prepares risk reports and participates in coverage, account, and inspection reviews with Underwriting and Risk Improvement.

Audits estimates prepared by independent adjusters and contractors to ensure accuracy and cost-effective repairs.

Handles referred claims from other departments, supports team members, participates in claims roundtables, and contributes to projects as needed.