Raphael and Associates

Third-party claims administrator and adjuster services

Executive General Adjuster

Claims AdjudicationConfirmed live in the last 24 hours

Full-timeNew York, NY, USANo salary listed

About the Job

Requirements

A bachelor's degree or equivalent industry experience is preferred.
Appropriate state adjusting licenses are required as applicable.
At least five years of property and casualty claims adjusting experience, including handling complex or large-loss claims, is required.
Strong analytical, investigative, and negotiation skills are required.
Excellent written and verbal communication abilities are required.
The ability to manage multiple priorities and deadlines effectively is required.
Strong customer service and relationship management skills are required.
Detail orientation and strong organizational skills are required.
Proficiency with Microsoft Office and claims management systems is required.
The ability to work independently and collaboratively in a team environment is required.
Sound judgment and decision-making capabilities are required.
The role requires the ability to work in office and field environments and to travel to inspect properties in varied environmental and weather conditions.
The role requires the physical ability to stand, walk, climb, bend, kneel, and lift as necessary for field inspections.

Responsibilities

Investigate and evaluate insurance claims to determine coverage, liability, and extent of damages.
Review insurance policies, claim documentation, and supporting records to assess claim validity and exposure.
Conduct interviews with insureds, claimants, witnesses, contractors, and other involved parties.
Inspect damaged property and evaluate repair, replacement, and remediation costs.
Coordinate with engineers, consultants, attorneys, contractors, and other experts as needed.
Prepare detailed reports documenting findings, recommendations, and claim resolutions.
Negotiate settlements within established authority and recommend further action when necessary.
Maintain accurate reserves and monitor claim financials throughout the life of the file.
Participate in mediations, hearings, appraisals, and litigation support activities when applicable.
Ensure compliance with client guidelines, carrier requirements, and industry regulations.
Provide responsive communication and customer service to clients, insureds, and business partners.
Travel as required to inspect losses and support catastrophe response efforts.
Support special projects and operational initiatives as assigned.
Maintain current knowledge of industry trends, policy forms, and claims practices.

Desired Qualifications

Experience with commercial, residential, and catastrophe claims is preferred.

Raphael & Associates is seeking an experienced, detail-oriented Executive General Adjuster to investigate, evaluate, and manage complex property and casualty claims in New York. This role is responsible for handling large-loss and high-exposure claims, providing expert analysis of coverage and liability issues, and delivering exceptional client service throughout the claims process. Join a forward-thinking organization that values your contributions and supports your professional growth in building a long-term career.

Responsibilities

Investigate and evaluate insurance claims to determine coverage, liability, and extent of damages
Review insurance policies, claim documentation, and supporting records to assess claim validity and exposure
Conduct interviews with insureds, claimants, witnesses, contractors, and other involved parties
Inspect damaged property and evaluate repair, replacement, and remediation costs
Coordinate with engineers, consultants, attorneys, contractors, and other experts as needed
Prepare detailed reports documenting findings, recommendations, and claim resolutions
Negotiate settlements within established authority and recommend further action when necessary
Maintain accurate reserves and monitor claim financials throughout the life of the file
Participate in mediations, hearings, appraisals, and litigation support activities when applicable
Ensure compliance with client guidelines, carrier requirements, and industry regulations
Provide responsive communication and superior customer service to clients, insureds, and business partners
Travel as required to inspect losses and support catastrophe response efforts
Support special projects and operational initiatives as assigned.
Maintain current knowledge of industry trends, policy forms, and claims practices.

Qualifications, Skills & Competencies

Bachelor’s degree preferred or equivalent industry experience.
Appropriate state adjusting licenses as required
Minimum of five (5) years of property and casualty claims adjusting experience, including handling complex or large-loss claims.
Experience with commercial, residential, and catastrophe claims preferred.
Strong analytical, investigative, and negotiation skills
Excellent written and verbal communication abilities
Ability to manage multiple priorities and deadlines effectively
Strong customer service and relationship management skills
Detail-oriented with strong organizational skills
Proficiency with Microsoft Office and claims management systems
Ability to work independently and collaboratively in a team environment
Sound judgment and decision-making capabilities

Work Environment & Physical Requirements

Ability to work in both office and field environments
Ability to travel to inspect properties in a variety of environmental and weather conditions.
Ability to stand, walk, climb, bend, kneel, and lift as necessary to perform field inspections.

The statements contained herein are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. Management reserves the right to modify job responsibilities and requirements as business needs change.

About the Company

Raphael and Associates

Third-party claims administrator and adjuster services

Raphael & Associates is a third-party claims administrator and independent claims adjusting firm with an international reach. It handles claims processing on behalf of clients by investigating, evaluating, and settling claims through a team of experienced professionals, supported by industry-standard technology. Its services are tailored to each client’s needs, ensuring a customized approach to claims handling across markets. Unlike many competitors, it emphasizes reliable service, a high-caliber staff, and the use of the best technology to streamline workflows and improve outcomes. The company’s goal is to provide outstanding service, retain extraordinary professionals, and use top technology to meet the demands of a dynamic market.

Company size: 51-200
Company stage: Not listed
Total funding: Not listed
Headquarters: Rutherford, NJ
Founded: 1978

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