Senior Claims Adjuster – P & C Homeowners Insurance

Senior Claims Adjuster – P & C Homeowners Insurance

Requirements

• Bachelor’s degree in business administration or field with skills transferable to insurance preferred; HS Diploma required.
• Active 6-20 Resident All Lines Adjuster License required.
• 4+ years of experience working directly for an insurance carrier.
• Dispute Resolution focus requires 2+ years of experience in a similar role and experience with all aspects of front-end claim handling including ADR and litigation.
• Experience with multiple state-specific insurance laws and good faith claims handling, with knowledge of Florida laws required.
• Industry designations or certifications, such as CPCU or AIC, are a plus.

Responsibilities

• Oversee a caseload of residential property claims involving official DFS Notices of Intent to Litigate, Civil Remedy Notices, mediations, appraisals, litigated files, and other claims as volume dictates.
• Provide exceptional customer service to internal and external customers, ensuring high engagement throughout the claim process including the clear communication of processes and timelines.
• Examine and appropriately interpret insureds’ policies, forms in force and other records to determine coverage and extent of company’s liability.
• Uphold ethical standards and execute responsibilities in accordance with Slide’s Core Values and information protection policies.
• Draft, approve, and adjust estimates of damage and loss amounts in accordance with applicable statutory guidelines.
• Research, analyze, and interpret policy language and state law as it applies to submitted claims.
• Negotiate and resolve claims in accordance with Slide’s practices, guidelines, and external regulations.
• Collaborate with external partners, providing guidance and expert recommendations as needed.
• Establish timely and appropriate claim reserves in accordance with claim standards.
• Responsible for the receipt, review, and oversight of alternative dispute resolution assignments requiring strategic analysis and response.
• Manage an inventory of litigated claims in accordance with Slide’s practices, guidelines, and industry standards.
• Document all relevant information in the electronic claims management system accurately and comprehensively.
• Contribute to Slide’s production goals and objectives, playing a key role in its success.
• Stay informed on statutory requirements and legal developments related to litigation, and residential property claims.
• Actively pursue ongoing education to stay current with statutory requirements and legal developments related to litigation and residential property claims.

Preferred Qualifications

• Advanced knowledge of Florida insurance laws and Florida good faith claims handling experience.
• Exceptional ability to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions.
• Strong customer service skills with the ability to successfully resolve customer escalations.
• Strong communication and negotiation skills.
• Excellent interpersonal and critical thinking skills.
• Data-driven, analytical approach necessary.
• Technical savviness.
• Solid working proficiencies of business operations, procedures, and priorities with a strong ability to support change and impart value within an organization.
• Ability to plan, prioritize workload, organize, and coordinate multiple tasks and projects.
• Proficient in MSO/365 applications such as Microsoft Teams, SharePoint, Word, Excel, PowerPoint and Outlook.
• Xactimate proficiency a plus.