Claims Manager - Litigation (Water Claims)

Job Description

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 Claims Litigation background to join our Claims Litigation team .

As a Claims Manager Water Litigation you will be responsible for the review and analysis of litigated water 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 Citizen’s core values, ethics and information protection policies.
• Responsible for managing staff to include hiring, goal setting, planning and delegation of work, training and development, coaching / mentoring and completing performance evaluations.
• 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 claims models. Participates in training and / or mentoring of internal, external and / or contracted staff.
• Develops, analyzes, and reports metrics useful in measuring team 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.

Qualifications

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.
• Ability to exercise independent judgment and be self-motivated.
• Advanced proficiency in Microsoft Word, Excel, and Outlook.
• Ability to recognize problematic situations and put into effect creative solutions.
• Strong analytical, organizational, negotiation and communication skills.
• 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, multitask and adapt to frequent priority changes.

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

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.
• Experience handling Non Weather Water property claims is STRONGLY DESIRED.
• 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.

Additional Information

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.