Claims Adjuster Intermediate - Complex Claims

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.

POSITION SUMMARY: The position is responsible for the investigation, evaluation, negotiation and settlement of personal and commercial claims of moderate 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.

• Models ethical behavior and executes job responsibilities in accordance with Citizens core values, ethics, and information protection policies.
• Negotiates and settle claims in accordance with Citizens Best Claims Practices and Estimating Guidelines and industry standards.
• Demonstrates proficiency in conducting investigations, damage assessments and utilizing estimating software.
• Researches, analyzes and interprets policy contracts and state statutes as it applies to submitted claims.
• Documents all relevant information in the electronic claims management system.
• Contributes to the business production goals and objectives.
• Trains, mentors and guides less experienced staff as needed.
• 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:

• Demonstrated 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 recognize problematic situations and put into effect creative solutions
• Ability to work independently, multi-task and adapt to frequent priority changes.
• Proficient in Microsoft Windows environment.
• Possesses strong customer service skills.

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

• 2 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.

PREFERRED QUALIFICATIONS:

• Bachelor’s degree in business administration or field with skills transferable to insurance.
• 4 or more years of experience handling claims.
• Active Florida Adjuster license (620 or 644).

• 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 and 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 a catastrophe response, or as needed.

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 programs
• Relocation assistance (where applicable)
• Community and volunteering opportunities
• Casual dress

Citizens is Proud to Be an Equal Opportunity Employer

Visa Sponsorship is not available for this position.

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