Claims Examiner

Are you a detail-oriented claims professional with a passion for helping others? We’re looking for a Desk Adjuster to work in our office located in Melbourne, FL. In this role, you’ll play a pivotal part in investigating, evaluating, and resolving insurance claims, ensuring fair and efficient processing in line with policy terms and company guidelines.

• →Review Claims: Assess and analyze submitted claims documentation to determine validity and coverage.
• →Gather Essential Information: Communicate with policyholders, witnesses, and other involved parties to collect relevant details for claims evaluation.
• →Document Findings Thoroughly: Create detailed reports and maintain comprehensive notes to support claims assessments.
• →Analyze Coverage: Review insurance policies to determine applicable coverage and assess liability.
• →Prepare Reports: Submit thorough reports with findings and well-supported recommendations for claim settlements.
• →Negotiate Settlements: Work with policyholders and third parties to negotiate settlements that ensure fair and just outcomes.
• →Resolve Disputes: Handle disputes professionally and efficiently, ensuring favorable resolutions.
• →Maintain Clear Communication: Foster transparent and professional communication with policyholders and all stakeholders throughout the claims process.
• →Collaborate Across Teams: Partner with internal teams, including underwriters and legal advisors, to resolve complex claims.
• →Ensure Compliance: In all claims processes, comply with state and federal regulations and company policies.
• →Support Catastrophe Response: Provide critical support for claims management efforts during disaster events as needed.

•  Education:  Bachelors degree or relevant education and experience. Industry certifications such as CPCU, AIC, etc. preferred.
• Required Experience: 3+ years handling homeowner’s insurance claims from FNOL through final settlement.
• Preferred Experience: 5+ years

CITON Claims Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Reasonable accommodations are available for qualified individuals with disabilities during the application process. Applicants who need accommodations may reach out to HR@orion180.com to request assistance.