Claims Adjuster I​/II​/III

Job title:Claims Adjuster I/II/III
Direct Reports:None
Position type
:

Full Time
FLSA Status:Exempt
Location:Jacksonville/In office

Normal

Working Hours:

Monday-Friday, 8:00AM-5:00PM

Olympus Insurance Company is the premier insurance partner, providing the broadest coverage and superior service for Florida homeowners since 2007. We believe that insurance is a promise, and we honor our commitment to help homeowners navigate life's inevitable storms. Becoming an Olympian means joining a collaborative, people-first culture built on growth, accountability, and connection. Think Ahead. Think Olympus.

We extend our signature White Glove Service to our employees through a comprehensive total rewards package, including:

• Employer-sponsored medical, dental, and vision plans
• Company-paid life insurance
  , short-term disability, and long-term disability
• 401(k) with up company match
• Paid Time Off to include annual PTO, Holidays, Floating Holidays, and Volunteer Time Off
• Education Assistance Program and ongoing professional development opportunities
• Wellness Lunch N Learns
• Employee perks such as pet insurance, discount programs, and a welcoming office environment

The Claims Adjuster I assists policyholders throughout the entire claims process and provides timely, responsive service. The Claims Adjuster I manages a caseload that includes first-party claims of varying complexity and may also involve third-party and litigated claims. Responsibilities include establishing the facts of loss, conducting coverage and reserve analyses, assessing and estimating property damage, assigning experts when necessary, identifying potential fraud, maintaining thorough file documentation, and ensuring claims are investigated promptly and resolved appropriately.

This role requires the ability to work extended hours, including evenings and weekends, in the event of a catastrophic weather occurrence to meet customer and business needs.

The Claims Adjuster I assists policyholders throughout the entire claims process and provides timely, responsive service. The Claims Adjuster I manages a caseload that includes first-party claims of varying complexity and may also involve third-party and litigated claims. Responsibilities include establishing the facts of loss, conducting coverage and reserve analyses, assessing and estimating property damage, assigning experts when necessary, identifying potential fraud, maintaining thorough file documentation, and ensuring claims are investigated promptly and resolved appropriately.

This role requires the ability to work extended hours, including evenings and weekends, in the event of a catastrophic weather occurrence to meet customer and business needs.

• Verify facts of loss and pertinent information to analyze and confirm coverage.
• Establish case reserves (anticipated cost to bring file to closure based on known facts) as soon as practical and monitor to adjust at the time of any exposure changing event.
• Explain and appropriately respond to insureds, public adjusters, attorneys and contractors during telephone contacts; as well as, contact the appropriate parties to obtain any needed information, provide timely investigation status updates, explain settlements and/or ultimate claim disposition.
• Timely login to phone system and be available for phone calls.
• Timely submit reserve and payment approval requests, as appropriate.
• Identify claims and draft a Reservation of Rights letter for claims management approval.
• Identify claims which should be resolved through DFS Mediation and/or appraisal and timely demand.
• Attend mediations, as assigned, and apply technical knowledge to facilitate claim resolution negotiations.
• Apply advanced negotiation skills to effectuate direct resolution of disputed claims.
• Coordinate appraisal process, maintaining communication necessary to ensure appraisal process is timely moved forward toward binding award.
• Identify and refer claims with subrogation potential to the subrogation department.
• Identify and refer cases with potential NICB fraud indicators
• Report all serious injuries/liability claims to claims management
• Report all large loss claims to claims management
• Attend and give sworn testimony in depositions and court proceedings involving property claims
• Must be proficient in writing and reconciling EMS and reconstruction estimates for property claims involving all perils.
• Virtually investigate and resolve claims, as appropriate, with the use of video technology.
• Strictly adhere to Claim Handling Guidelines and Claims Best Practices as well as all statutory requirements.
• Complete file documentation in a timely and complete manner,
• Close all files as appropriate in a timely and complete manner .
• Must meet minimum expectations when passing internal and external audits, which include those performed by regulatory, agencies, carriers, and clients.
• Assist management when required with projects or leadership requests including…