Claims Examiner - General Liability

CITON Claims Solutions; Melbourne (KY); On-site; USD 90,000 - 120,000; Full time

Job summary

CITON Claims Solutions seeks a seasoned Desk Adjuster to investigate, evaluate, and resolve general liability claims from our Melbourne, FL or Dallas, TX offices. You will assess coverage, gather essential information, and negotiate fair settlements while coordinating with underwriters and legal advisors.

The role demands 8–10 years of liability claims experience, a valid adjuster license in home state and Florida, and strong analytical and communication skills.

Qualifications

• Minimum 8–10 years in a claim adjusting role, focusing on liability claims with exposure >$100k.
• College degree and industry certifications are strongly preferred.

Responsibilities

• Review claims documentation to determine validity and coverage.
• Gather information from policyholders, witnesses and involved parties.
• Document findings with detailed reports and notes to support assessments.
• Analyze policy coverage and liability.
• Prepare findings and recommendations for settlements.
• Negotiate settlements with insureds and third parties.
• Resolve disputes professionally and maintain clear communication with stakeholders.
• Collaborate with underwriters and legal advisors to resolve complex claims.
• Ensure compliance with state/federal regulations and company policies.
• Support catastrophe response as needed.

Skills

Analytical thinking

Investigation

Negotiation

Communication

Education

Bachelor's degree

Industry certifications (preferred)

Tools

CMS

Microsoft Office

Job description

Join your team as a Claims Adjuster - General Liability!

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 in Melbourne, Florida or Dallas, Texas. 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:

• Experience: Minimum of 8 to 10 years in a claim adjusting role, with direct experience handling liability claims with a focus on Homeowner’s Liability. This includes investigation, negotiation, and settlements on claims with exposure in excess of $100k. College degree and industry certifications are strongly preferred.
• Technical Skills: Proficiency with CMS, Microsoft Suite of products, strong analytical, investigative, and problem-solving skills; solid understanding of legal concepts surrounding liability claims.
• Licensing and Certifications: Valid adjuster’s license in home state and Florida required.
• Insurance Knowledge: Strong understanding of insurance policies, coverage evaluation, claim investigation, and dispute resolution throughout the life of a file. Should be able to demonstrate advanced understanding of all issues related to liability claims including state regulations, case law, and statutes.
• Negotiation Skills: Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters.

WHAT’S IN IT FOR YOU:

• Dynamic Environment: Thrive in a fast-paced, collaborative, and results-driven office where your contributions make a real impact.
• Career Growth: Opportunities for professional development and advancement within a supportive company culture.

The office environment is fast-paced and collaborative. An employee must be willing and able to work their regularly assigned work schedule onsite, 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 (<25 lbs); 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.

Orion180 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 email [e-mail] to request assistance.