Claim Manager - Litigation (Specialty Team)

Searching for a place to make your mark? Every great team depends on the individual contributions of its members – the skills, talents and the passion that each team member brings. At Citizens, we’re building a workforce of top achievers committed to our company’s mission and vision. Our company values the knowledge that comes from experienced and dedicated individuals with a variety of backgrounds, in or out of insurance.

Citizens’ Mission is to provide property insurance protection in Florida to those who are, in good faith, unable to obtain coverage through the private market while also providing the utmost in customer service. Our Values are public service, integrity, respect, responsiveness and sound judgment. We strive to not only provide affordable insurance products and services but also to provide sound financial responsibility to the citizens of Florida.

At Citizens, we are a team of dedicated, service-minded professionals committed to our policyholders. Come achieve and maximize your potential with us!

Settling Claims fairly is the cornerstone of our business. As one of the State’s largest property insurers, we have a fantastic opportunity for highly skilled, analytical thinking manager who is ready to combine their advanced claims experience with their legal background to join our Claims Litigation team. As a Claims Manager – Specialty Litigation you will be responsible for the review and analysis of litigated claims . You will provide recommendations towards the resolution of new Complaints and oversee a professional team of litigation adjusters. You will interact with external business partners and exercise independent judgment. Join us and help ensure our policy holders claims are handled efficiently and fairly, because you, like us, do the right thing.

POSITION SUMMARY: This position is responsible for the direct supervision and accountability of internal, external and/or contracted staff responsible for the investigation, adjustment, and settlement of claims and/or the assessment of claim performance. Additionally, may be required to provide oversight to the multiple claim workflows and processes, conduct open and closed file reviews, mentor, train, and participate in the direct handling of claims to ensure compliance with company policies and procedures.

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.

• Facilitates a work environment that fosters and supports ethical decision-making and actions by motivating, promoting and modeling ethical behavior, as well as executing job responsibilities in accordance with Citizens core values, ethics and information protection policies.
• Responsible for managing claim personnel to include hiring, training, performance assessment, planning and delegation or workload, coaching and motivating to improve quality and quantity of work performed.
• Conducts audits of the claims process to include coverage analysis, investigation, valuation, scope, estimate, reserving, and the accurate disposition of claims.
• Communicates effectively with agents, policyholders, Claims Unit personnel, External and Internal Stakeholders.
• Ability to manage and adjust claims in accordance with Citizens Best Practices and Estimating Guidelines including proficiency with the electronic estimating system and management application.
• Completes field re-inspections of vendor or employee claims to ensure proper claim handling and compliance with company procedures.
• Assists in the coordination of vendor involvement in all current claim models. Participates in training and/or mentoring of internal, external and/or contracted staff.
• Develops, analyzes, and reports metrics useful in measuring performance as well as effectiveness of the team operations.
• Participates in workload surges and/or catastrophe response as needed, to include mandated overtime during specific catastrophic events. May assist other Business Units as needed.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions.
• Demonstrates leadership and managerial skills.
• Strong verbal and written communication skills.
• Advanced proficiency in Microsoft Word, Excel and Outlook.
• Ability to exercise independent judgment and be self-motivated
• Ability to recognize problematic situations and put into effect creative solutions.
• Ability to coordinate large, diverse teams of adjusters, attorneys, consultants and/or experts.
• Ability to plan, prioritize workload, organize, and coordinate multiple tasks and projects.
• Ability to work independently, multi task and adapt to frequent priority changes.
• Strong analytical, organizational, negotiation and communication skills.

REQUIRED EDUCATION AND EXPERIENCE:

• High School Diploma/GED

• Bachelor’s degree OR 4 years of relevant experience OR a combination of college education and relevant work experience equivalent to 4 years.
• 2 or more years of supervisor/managerial experience or experience leading complex projects or teams.
• Within 90 days of hire, a valid, active and appropriate Florida Adjuster license and Appointment will be required and maintained, as a condition of continued employment

AND

• 5 or more years of experience relating to P&C claims (Personal & Commercial)

OR

• JD with 1 year of adjusting experience OR the designation of Chartered Property Casualty Underwriter (CPCU)

OR

• JD, licensed to practice law in Florida and in good standing with The Florida Bar, is exempt from adjuster licensure at hire and has either:
• 6 months adjusting experience OR 6 or more months of insurance claims litigation experience OR the CPCU designation.

PREFERRED QUALIFICATIONS:

• 7 or more years of experience relating to P&C claims (Personal & Commercial).
• 4 or more years of supervisory experience with two (2) or more of those years relating to insurance.
• Strong knowledge of Florida P&C Insurance marketplace including matters of coverage, damage assessment, legal climate and claims law.
• Active Florida Adjuster license (620 or 644).
• Industry designations and/or certifications.
• Claims litigation experience is STRONGLY DESIRED.
• Xactimate proficiency.

PHYSICAL REQUIREMENTS:

This position requires the ability to sit for long periods of time, hear and converse over the telephone, and key frequently on a computer. Must be mobile, operate a motor vehicle, climb roofs and work in a highly energetic and flexible work environment. Position may require periodic overnight travel including lengthy catastrophe response.

We offer unlimited career potential, excellent training and development opportunities, and a structured Career Development program to explore future roles of interest while growing and developing in your existing role.

Citizens offers a competitive compensation and benefits package that includes comprehensive medical/dental, Retirement Savings Plan, Vacation and Sick Time, EAP, Tuition Reimbursement, Community Service and much more!

• Retirement savings plan with a generous company match
• Medical, dental and vision coverage
• Company Paid employee basic life insurance and short-term disability
• Generous paid time off: vacation, sick and holiday leave
• Employee Assistance and Wellness Programs
• Tuition reimbursement
• Professional and leadership development opportunities
• Flexible work schedule and Alternative Work Arrangements
• Company Paid Parking
• Employee recognition program

Citizens is Proud to be an Equal Opportunity Employer

Visa sponsorship is not available for this position.

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