Claims Adjuster (Field) - Interm

JOB 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.
• 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.

SCOPE / COMPLEXITY OF WORK :

• Percentage of time is accountable for short-term operational goals : 20%
• Percentage of time is accountable for transactional, day to day operational support : 80%

PHYSICAL REQUIREMENTS :

Occasionally : Position self (to) Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess, Travel

Frequent : Stationary position, Move, Traverse, Position self (to) Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position, Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information

Citizens is Proud to Be an Equal Opportunity Employer

Relocation Assistance is available for this position

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