Claims Examiner

Orion180 Insurance Co.; Melbourne (FL); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision

401k

Paid holidays

PTO

Job summary

CITON Claims Solutions, LLC is seeking a detail-oriented Desk Adjuster in Melbourne, FL to investigate, evaluate, and resolve homeowner insurance claims in line with policy terms and company guidelines.

The role emphasizes thorough documentation, clear communication with policyholders, and collaboration with internal teams to ensure fair outcomes. An on-site environment with competitive pay and benefits is offered.

Qualifications

• Bachelor's degree or relevant education and experience; industry certifications such as CPCU, AIC preferred.
• 3+ years handling homeowner’s insurance claims from FNOL through final settlement.
• Preferred: 5+ years of experience

Responsibilities

• Review Claims: assess documentation to determine validity and coverage.
• Gather Essential Information: contact policyholders, witnesses, and others to collect details.
• Document Findings Thoroughly: create reports and maintain notes.
• Analyze Coverage: review policies to determine applicable coverage and liability.
• Prepare Reports: submit thorough findings and recommendations for settlements.
• Negotiate Settlements: work with policyholders and third parties to reach settlements.
• Resolve Disputes: handle disputes professionally for favorable outcomes.
• Maintain Clear Communication: ensure transparent communication with stakeholders.
• Collaborate Across Teams: coordinate with underwriters and legal advisors.
• Ensure Compliance: follow state/federal regulations and company policies.
• Support Catastrophe Response: assist in disaster claim management as needed.

Skills

Claims investigation

Negotiation

Communication

Report writing

Education

Bachelor's degree or equivalent

CPCU

AIC

Job description

CITON Claims Solutions, LLCstands out as a leading provider of claim management and administration services tailored specifically for insurance companies. We pride ourselves on deliveringefficient and innovative solutionsthat cater to the unique needs of each client. Our dedicated team of experts, equipped with cutting-edge technology, ensuresseamless processes, accurate assessments, and prompt resolutions, providing unparalleled value and peace of mind to our clients.

CITON Claims Solutions is proud to call two vibrant cities home. Our headquarters on Florida’s stunning Space Coast in Melbourne offers an exceptional quality of life, with affordable housing, excellent transportation, and close proximity to major cities like Orlando, Tampa, and Miami. Our Irving, Texas location places us in a dynamic center of culture, business, and entertainment, keeping us deeply connected to innovation and growth.

ABOUT THE ROLE:

Are you a detail-oriented claims professional with a passion for helping others? We’re looking for a Desk Adjuster to work in our office located inMelbourne , FL. In this role, you’ll play a pivotal part in investigating, evaluating, and resolving insurance claims, ensuring fair and efficient processing in line with policy terms and company guidelines.

WHAT YOU’LL DO:

• Review Claims: Assess and analyze submitted claims documentation to determine validity and coverage.
• Gather Essential Information: Communicate with policyholders, witnesses, and other involved parties to collect relevant details for claims evaluation.
• Document Findings Thoroughly: Create detailed reports and maintain comprehensive notes to support claims assessments.
• Analyze Coverage: Review insurance policies to determine applicable coverage and assess liability.
• Prepare Reports: Submit thorough reports with findings and well-supported recommendations for claim settlements.
• Negotiate Settlements: Work with policyholders and third parties to negotiate settlements that ensure fair and just outcomes.
• Resolve Disputes: Handle disputes professionally and efficiently, ensuring favorable resolutions.
• Maintain Clear Communication: Foster transparent and professional communication with policyholders and all stakeholders throughout the claims process.
• Collaborate Across Teams: Partner with internal teams, including underwriters and legal advisors, to resolve complex claims.
• Ensure Compliance: In all claims processes, comply with state and federal regulations and company policies.
• Support Catastrophe Response: Provide critical support for claims management efforts during disaster events as needed.

WHAT WE’RE LOOKING FOR:

• Education: Bachelors degree or relevant education and experience. Industry certifications such as CPCU, AIC, etc. preferred.
• Required Experience: 3+ years handling homeowner’s insurance claims from FNOL through final settlement.
• Preferred Experience: 5+ years

WHAT’S IN IT FOR YOU:

• Dynamic Environment: Thrive in a dynamic, on-site environment where your expertise drives real results.
• Competitive Pay: Enjoy a competitive base salary plus performance-based bonuses that reward your contributions when you go above and beyond.
• Growth Potential: Join a supportive team with a path for growth.
• Benefits: Medical, dental, vision, 401k, paid holidays, PTO, and more.

The office environment is fast paced and collaborative. An employee must be willing and able to work their regularly assigned work schedule, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands. While performing general duties for this position, the employee is regularly required to sit, stand and/or walk around (including the use of stairs).Other demands include the ability to openly communicate with others by talking, listening, comprehending, and reading, being able to lift light objects (<25lbs), and using standard office equipment such as computers, printers, and phones.In addition, there is an occasional need to bend, twist or squat down to open/close cabinets, and reach for files or other standard office-type objects. If you are interested in applying for employment and need special assistance or accommodation to apply for a posted position, contact our Human Resources department.

CITON Claims Solutions 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, disability, or protected veteran status.

Reasonable accommodations are available for qualified individuals with disabilities during the application process. Applicants who need accommodations may reach out to [e-mail] to request assistance.