Claims Adjuster - Sr (Field)

POSITION SUMMARY: The position is responsible for the investigation, evaluation, negotiation and settlement of personal and/ or commercial claims of moderate to high complexity, including dispute resolution and/or recovery. This position requires successful completion of Citizens Fundamentals Claims School, which includes obtaining an overall passing score.

ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Model ethical behavior and execute job responsibilities in accordance with Citizens core values, ethics, and information protection policies.
• Negotiates and settles claims in accordance with Citizens Best Claims Practices and Estimating Guidelines and industry standards.
• Researches, analyzes and interprets policy language and state law as it applies to submitted claims.
• Demonstrates proficiency in conducting investigations, damage assessments and claim evaluations.
• Documents all relevant information in the electronic claims management system.
• Contributes to the business production goals and objectives.
• Participates in workload surges and/or catastrophe response as needed, to include mandated overtime during specified catastrophic events. May assist with other Business Units as needed.
• May coach, counsel or train less-experienced staff, may also direct the work of others, may provide input in the performance management, goal setting and review processes.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Demonstrates working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions.
• Strong analytical, organizational, negotiation and communication skills.
• Ability to work independently, multi-task and adapt to frequent priority changes.
• Proficiency in Microsoft Windows environment.
• Ability to plan, prioritize workload, organize and coordinate multiple tasks and projects.
• Possesses strong customer service skills and can address customer escalations.

REQUIRED EDUCATION AND EXPERIENCE:

• High School Diploma or Equivalent
• Associate's degree OR two (2) years relevant experience OR a combination of college education and experience equivalent to two (2) years.

AND

• Six (6) or more years of experience handling claims.
• Must possess a valid, active and appropriate Florida adjuster license within 90 days of employment and maintain it as a condition of continued employment. Appointment required.
• Within 90 days of employment, must successfully complete all requirements of Citizens Fundamental Claims School which includes obtaining an overall passing score.

OR

• Juris Doctor (JD)

AND

• 1 or more years of adjusting experience

PREFERRED QUALIFICATIONS:

• Bachelor's degree in business administration or field with skills transferable to insurance.
• Seven (7) or more years of experience handling claims.
• Active Florida Adjuster license (620 or 644).
• Industry designations or certifications.
• Xactimate proficiency.

PHYSICAL REQUIREMENTS:

This position requires the ability to sit, hear, converse over the telephone and key frequently on a computer for long periods of time (4 or more hours per day). Position may require the ability to be mobile, operate a motor vehicle, climb roofs and inspect homes including attics & crawl spaces. This position may require occasional overnight travel during catastrophe response; and may be required to work for extended periods of time to include after standard business hours in addition to weekends and holidays during catastrophe response, or as needed.

Visa sponsorship is not available for this position.

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