Claims Adjuster for EMC Insurance

Essential Functions:

  • This is a possible work from home opportunity
  • Investigates commercial property claims of moderate complexity
  • Reviews the claim notice and policy to verify coverage, deductibles, claim payee/mortgagees and confirms that the claim date falls within the coverage period
  • Initiates contact with insureds and claimants to obtain information on the claim and provide information on claim process
  • Takes statements from insureds/claimants/witnesses
  • Documents claim files
  • Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology
  • Resolves questions of coverage, liability and the value of claims
  • Secures the necessary official reports, claim forms and documents
  • Reviews bills, invoices and receipts for accuracy.
  • Provides prompt, detailed responses to agents, insureds and claimants on the status of claims
  • Identifies opportunities for recovery and investigates and pursues accordingly
  • Negotiates, settles and/or resolves claims
  • Assists in suits, mediations and arbitrations
  • Communicates with other departments to submit referrals or share risk reports

Education & Experience:

  • Bachelor’s degree or equivalent work experience
  • Three years of claims adjusting experience
  • Insurance designations preferred

Knowledge, Skills & Abilities:

  • Strong knowledge of the theory and practice of the claim function
  • Analytical ability and sound judgment with respect to liability and coverage
  • Strong knowledge of insurance contracts, medical terminology and legal aspects of court procedures
  • High standards of professional conduct
  • Strong knowledge of computers and claims systems

Click here for more information and to apply for this work at home position!