Sr Technical Property Adjuster - Mid-Atlantic

Position Overview

The Sr Technical Adjuster Service Claims is responsible for independently managing highly complex and high-value field property service claims. This role requires advanced investigation, evaluation, and negotiation skills to resolve field property claims with minimal oversight. It involves thorough analysis, collaboration with internal teams and external experts, and will require travel on short notice. Strong technical expertise and the ability to manage claims in accordance with policy provisions, regulations, and best practices are essential to delivering high-quality service and outcomes.

• Independently investigate highly complex and sensitive field property service claims, including those requiring outside field investigations and catastrophe (CAT) response, ensuring thorough analysis and resolution.
• Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. Escalate issues as needed.
• Collaborate with internal and external experts, including legal, underwriting, vendors, and agents, to evaluate claims and determine validity and value.
• Lead cross-functional meetings and communicate complex information clearly to diverse audiences.
• Serve as a subject matter expert and contribute to departmental projects and initiatives; act as a technical resource for other adjusters.
• Identify and proactively pursue opportunities to transfer risk to the appropriate entities for the benefit of insureds and business partners.
• Maintain comprehensive and detailed claim records, ensuring proper documentation and compliance with jurisdictional requirements.
• Lead quality and efficiency initiatives for complex claims workflows.
• Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts.
• Ensure all claims activities comply with regulatory and company standards. Execute jurisdictional compliance requirements and support others in understanding regulatory obligations.
• Use technology and data tools to identify trends, correct inconsistencies, and optimize outcomes.
• Negotiate high-value and contested claims using advanced strategies.
• Investigate and manage suspicious claims using advanced techniques and tools; refer to the Special Investigation Unit (SIU) as needed. Maintain awareness of fraud indicators and regulatory reporting obligations.
• Set reserves, authorize payments, and make financial decisions within authority and contribute to reserving accuracy and efficiency.
• Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII).
• Maintain comprehensive factual and organized claim records and prepare detailed reports summarizing findings and recommendations.
• Serve as a mentor to junior adjusters, providing guidance on complex claims, compliance, and litigation processes. Support training initiatives and contribute to the development of best practices and educational materials.
• Deliver empathetic, clear communication throughout the claims process. Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience.
• May represent the company in mediations, arbitrations, and trials.
• Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits, and a valid driver’s license.

• Bachelor’s degree preferred or equivalent experience; typically 8+ years of industry experience; industry designation relevant to the role preferred.
• Recognized authority in negotiating highly complex claims; shapes and implements best practices.
• Fluent in Xactimate usage with level 3 certification or the ability to achieve.
• Strong knowledge of local geography, regulations, and public safety agencies, as well as the ability to build rapport with insureds and navigate the insurance and legal climate. Strong working knowledge of applicable statutes, regulations, case law, and third‑party legal liability concepts.
• Skilled in negotiation and developing strategies…