Claims Examiner

Orion180•Irving, TX

12d•Onsite

About The Position

CITON Claims Solutions is seeking a detail-oriented claims professional to investigate, evaluate, and resolve insurance claims in its Irving, Texas office. The role involves assessing claims documentation, gathering information from policyholders and other parties, reviewing coverage and liability, preparing settlement recommendations, negotiating outcomes, and resolving disputes. The Claims Examiner communicates with stakeholders throughout the process and collaborates with underwriters, legal advisors, and other internal teams on complex claims. The role also supports claims management during disaster events as needed and requires compliance with applicable state and federal regulations and company policies. The work environment is fast-paced, collaborative, and on-site. Employees must be able to work their regularly assigned schedule and may need to work an extended schedule based on company or departmental needs, project requirements, or customer demands. The position includes regular sitting, standing, and walking, including use of stairs; occasional bending, twisting, squatting, and reaching; lifting light objects under 25 pounds; communicating and reading; and using standard office equipment. Reasonable accommodations are available to qualified individuals with disabilities during the application process.

Requirements

At least 3 years of experience handling homeowners insurance claims from first notice of loss (FNOL) through final settlement.
Bachelor’s degree or relevant education and experience.
Ability to work the regularly assigned schedule and, when needed, an extended schedule based on company or departmental needs, project requirements, or customer demands.
Ability to perform the stated physical and communication duties, including lifting light objects under 25 pounds and using standard office equipment.

Nice To Haves

At least 5 years of experience.
Industry certifications such as CPCU or AIC.

Responsibilities

Review and analyze submitted claims documentation to determine validity and coverage.
Communicate with policyholders, witnesses, and other involved parties to gather information for claims evaluation.
Document findings in detailed reports and maintain comprehensive notes supporting claims assessments.
Review insurance policies to determine applicable coverage and assess liability.
Prepare reports with findings and supported recommendations for claim settlements.
Negotiate settlements with policyholders and third parties to pursue fair outcomes.
Handle disputes professionally and efficiently.
Maintain clear and professional communication with policyholders and stakeholders throughout the claims process.
Collaborate with internal teams, including underwriters and legal advisors, to resolve complex claims.
Comply with state and federal regulations and company policies in claims processes.
Support claims management efforts during disaster events as needed.