Claims Examiner

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• Employment Eligibility (e-Verify): English & Spanish
• Right to work: English / Spanish

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Position Overview

The Examiners primary responsibility involves the review and evaluation of complex natured claims. This includes reviewing, evaluating, adjusting and investigating claims. The Examiner will set and adjust reserves and approve payments.

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.

Essential Job Functions

• Evaluation of complex represented claims.
• Communicate with independent adjusters and other experts to gather information on claims.
• Negotiate and explain settlements with the insured and/or their representatives.
• Knowledge of multiple policy forms.
• Manage workload and provide management with reports for late reporting according to established UAC guidelines.
• Answer incoming telephone calls from agents, public adjusters and insureds.
• Review and analyze written information.
• Communicate effectively.
• Rely on training and guidance from management to plan and accomplish goals.
• Understanding of estimating software.
• Regular and reliable attendance.

Required Knowledge, Skills & Ability

• Working knowledge of Microsoft Office including Word, Excel and Outlook.
• Must possess a Florida 6-20 Insurance License.
• Possession of other state license as required by management.
• Ability to work independently as well as a team player.
• Ability to multi-task.
• Computer savvy.
• Basic calculator skills.
• Working knowledge of ISO policies.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this position. Duties, responsibilities and activities may change at any time and the employee is expected to perform such other duties as may be assigned.

Benefit Highlights

• Industry leading medical, dental and vision insurance plan
• 401(k) Retirement Plan with a company match of 100%  on up to 5% of compensation (match is fully-vested immediately)
• Generous PTO policy
• Eligible for performance based bonuses