Job Description

Job Description

Job Description

About CITON Claims Solutions, LLC

CITON Claims Solutions, LLC stands out as a leading provider of claim management and administration services tailored specifically for insurance companies. We pride ourselves on delivering efficient and innovative solutions that cater to the unique needs of each client. Our dedicated team of experts, equipped with cutting-edge technology, ensures seamless processes, accurate assessments, and prompt resolutions , providing unparalleled value and peace of mind to our clients.As a proud subsidiary of Orion180 Group Inc. , CITON specializes in Claims Administration, Management, and Investigation.

Job Summary

The Claims Examiner - Inside Desk Adjuster plays a crucial role in managing homeowners' property insurance claims, from the initial contact with the insured through to claims resolution. This position is dedicated to providing world-class customer service to insurers, insureds, and agents by empathetically handling each claim and ensuring fair and efficient processing.Key responsibilities include demonstrating a solid understanding of insurance principles, conducting thorough claims investigations, evaluating damages, and resolving property claims to create a positive customer experience. The Claims Examiner is empowered to make independent decisions within designated authority, ensuring prompt and cost-effective examination, investigation, evaluation, and payment of claims.

Role and Responsibilities

To excel in this role, the Claims Examiner must effectively perform the following essential duties:

• Conduct prompt and thorough investigations of claims from initial contact to resolution, including research, analysis, and synthesis of findings.
• Provide exceptional customer service to Orion180 policyholders.
• Determine coverage and identify issues related to various claims, applying a comprehensive understanding of applicable insurance policies.
• Collaborate with Claims Management to resolve coverage issues.
• Assess subrogation potential and recommend files to subrogation examiners as appropriate.
• Negotiate settlements with insureds and third parties using an objective approach.
• Compose clear and professional correspondence to insureds, claimants, attorneys, agents, and regulatory agencies.
• Document all claim file activity meticulously, including current strategies and plans of action.
• Maintain effective communication with policyholders, field adjusters, and other parties to ensure timely processing of claims.
• Review adjuster reports and estimates for technical accuracy and compliance with industry guidelines.

Qualifications and Education Requirements

• Experience : Minimum of 2 years in daily field or desk adjusting.
• Estimating Skills : 2+ years of experience with Xactimate/Xactanalysis.
• Licensing : Adjuster's license or the ability to obtain the required state license.
• Insurance Knowledge : Ability to read and interpret insurance policies.
• Communication Skills : Proficient in writing reports, business correspondence, and procedure manuals.
• Customer Service : Strong focus on customer experience and proactive claim handling.
• Technical Proficiency : Proficient in MS Word, Excel, and Outlook.

Preferred Skills

• Ability to work independently in a team-oriented environment.
• Self-directed with excellent time management and organizational skills.
• Strong interpersonal skills to work effectively with all levels of staff.
• Attention to detail and a commitment to accuracy.
• High standards of integrity, trustworthiness, and ethical behavior.

Physical Demands

This position requires the ability to perform general office duties, including sitting, standing, and walking. Employees must be able to communicate effectively, lift light objects (less than 25 lbs), and use standard office equipment. Occasional bending, twisting, or stooping may be necessary to access files or office supplies.

Work Environment

The office environment is typically quiet and temperature-controlled, with occasional noise or temperature fluctuations due to maintenance or weather conditions. Employees are expected to adhere to their assigned work schedules and may need to work extended hours based on departmental needs or project requirements.

Application Process

If you are interested in applying for this position and require special assistance or accommodations, please contact our Human Resources department at (321) 218-2473 or HR@orion180.com . CITON Claims Solutions, LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status, and will not be discriminated against based on disability.

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