In-House Adjuster

In-House Adjuster Stellar Human Resource Services LLC Miami, FL Job Details Full-time 18 hours ago Qualifications Financial forecasting Estimating software Customer communication Report writing Regulatory compliance in claims processing Process improvement Improving operational efficiency Key Performance Indicators Operational risk mitigation Team management Xactimate Settlement negotiation Claims documentation management Senior level Training Escalation handling Project stakeholder communication Regulatory compliance management Stakeholder management Full Job Description Stellar Public Adjusting Services In-House Adjuster Exempt, Full-time position Position Summary This position offers the opportunity to work alongside experienced professionals handling residential and commercial property claims with a strong focus on customer service, coverage analysis, and claim resolution. The ideal candidate is organized, responsive, and able to effectively manage claims from initial assignment through settlement while maintaining professionalism and urgency throughout the process. Key Responsibilities Claims Oversight & Strategy Manage residential and commercial property claims through resolution. Develop and execute claim strategies that maximize recovery under applicable policy terms. Analyze policy language, exclusions, endorsements, and limits to identify all available coverages. Ensure claims are supported by accurate scopes, estimates, inventories, photographs, and expert reports. Monitor claims timelines and proactively addresses delays, denials, and payments. Estimating, Construction & Technical Experience Review and approve detailed repair estimates using Xactimate. Apply strong working knowledge of construction methods, materials, and repair sequencing to validate scopes of loss. Evaluate and reconcile contractors, carriers, and expert estimates. Identify missed line items, code upgrades, and scope gaps impacting claim value. Team Leadership & Performance Work with claims support staff for claims resolution. Act as point of contact for licensed public adjuster. Provide coaching and training related to estimating, documentation, and negotiation. Ensure compliance with internal SOPs and state public adjusting regulations. Carrier, Client & Stakeholder Communication Draft and review clear, persuasive, and well-supported claim correspondence, including demand letters, rebuttals, reconsideration requests, and settlement position statements. Serve as the primary escalation point for disputed or complex claims. Negotiate directly with insurance carriers, independent adjusters, and management level-claim representatives. Coordinate with outside experts. Maintain professional communication with insureds, attorneys, and internal leadership. Financial & Reporting Responsibilities Track claim recoveries, supplemental payments, and fee calculations. Monitor claim performance metrics including cycle time and recovery ratios. Prepare internal reports for leadership regarding claim status, trends, and outcomes. Assist with forecasting. Compliance & Risk Management Ensuring claims comply with applicable laws, licensing requirements, ethical standards, and contractual obligations. Maintain complete and defensible claim files for litigation support. Identify operational risks and recommend process improvements.