Claims Examiner - General Liability

Claims Examiner
- General Liability

Orion
180 Insurance Services LLC

Melbourne, Florida, United States

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.

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.

Join your team as a Claims Adjuster
- General Liability!

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.

• 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.

• 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.

• 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…