Job Description

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POSITION SUMMARY: The position is responsible for the investigation, evaluation, negotiation and settlement of personal and commercial claims of moderate complexity, including dispute resolution and/or recovery. This position requires successful completion of Citizens Fundamentals Claims School, which includes obtaining an overall passing score.

ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Models ethical behavior and executes job responsibilities in accordance with Citizens core values, ethics, and information protection policies.
• Negotiates and settle claims in accordance with Citizens Best Claims Practices and Estimating Guidelines and industry standards.
• Demonstrates proficiency in conducting investigations, damage assessments and utilizing estimating software.
• Researches, analyzes and interprets policy contracts and state statutes as it applies to submitted claims.
• Documents all relevant information in the electronic claims management system.
• Contributes to the business production goals and objectives.
• Trains, mentors and guides less experienced staff as needed.
• Participates in workload surges and/or catastrophe response as needed, to include mandated overtime during specific catastrophic events. May assist other Business Units as needed.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Demonstrated working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions.
• Strong analytical, organizational, negotiation and communication skills.
• Ability to recognize problematic situations and put into effect creative solutions
• Ability to work independently, multi-task and adapt to frequent priority changes.
• Proficient in Microsoft Windows environment.
• Possesses strong customer service skills.

REQUIRED EDUCATION AND EXPERIENCE:

• High School Diploma or Equivalent
• Associate's degree OR two (2) years relevant experience OR a combination of college education and experience equivalent to two (2) years.

AND

• 2 or more years of experience handling claims.
• Must possess a valid, active and appropriate Florida adjuster license within 90 days of employment and maintain it as a condition of continued employment. Appointment required.
• Within 90 days of employment, must successfully complete all requirements of Citizens Fundamental Claims School which includes obtaining an overall passing score.

PREFERRED QUALIFICATIONS:

• Bachelor's degree in business administration or field with skills transferable to insurance.
• 4 or more years of experience handling claims.
• Active Florida Adjuster license (620 or 644).
• Xactimate proficiency.

PHYSICAL REQUIREMENTS:

This position requires the ability to sit, hear, converse over the telephone and key frequently on a computer for long periods of time (4 or more hours per day). Position may require the ability to be mobile, operate a motor vehicle, climb roofs and inspect homes including attics and crawl spaces. This position may require occasional overnight travel during catastrophe response; and may be required to work for extended periods of time to include after standard business hours in addition to weekends and holidays during a catastrophe response, or as needed.

Citizens is Proud to Be an Equal Opportunity Employer

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