Description

• Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyze coverage and communicate coverage positions under direction of manager and coverage unit.
• Conduct, coordinate, and direct investigation of builders risk claims.
• Direct and monitor assignments to experts and underlying defense counsel.
• Evaluate information on coverage and damage to determine the extent of the loss exposure.
• Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.
• Set reserves within authority and/or makes recommendations to supervisor concerning reserve changes.
• Effectively evaluate contract language and identify coverage issues.
• Maintain an active file diary to more file toward resolution.
• Recognize and pursue recovery.
• Adhere to all statutory and regulatory fair claims practices.
• Recognize and identify potential fraudulent claims.
• Effectively control the use, work product and expenses of outside vendors.
• Develop and maintain strong business relationships with internal and external business partners/clients.
• Serve as a technical resource to lesser experienced adjusters on the team.
• Successfully contribute to the development and delivery of the team's goals, objectives and results.