Claims Examiner

Orion180 Insurance Services•Melbourne, FL

11h•Onsite

About The Position

CITON Claims Solutions is seeking a detail-oriented claims professional to work as a Desk Adjuster in its Melbourne, Florida office. The role investigates, evaluates, and resolves insurance claims, supporting fair and efficient processing in accordance with policy terms, company guidelines, and applicable regulations. The position works in a fast-paced, collaborative office environment and may support claims management during disaster events as needed. Employees must be able to work their regularly assigned schedule and, when needed, an extended schedule based on company or departmental needs, project requirements, or customer demands. The role requires at least three years of experience handling homeowners insurance claims from first notice of loss through final settlement. A bachelor's degree or relevant education and experience is required; industry certifications such as CPCU or AIC are preferred. Five or more years of experience is preferred. CITON Claims Solutions is an equal opportunity employer and offers reasonable accommodations to qualified individuals with disabilities during the application process.

Requirements

Bachelor's degree or relevant education and experience.
At least 3 years of experience handling homeowners insurance claims from first notice of loss through final settlement.
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 sit, stand, and/or walk around, including use of stairs.
Ability to communicate with others by talking, listening, comprehending, and reading.
Ability to lift light objects weighing less than 25 pounds.
Ability to use standard office equipment such as computers, printers, and phones.
Occasional ability to bend, twist, or squat and reach for files or other office objects.

Nice To Haves

Industry certifications such as CPCU or AIC.
5 or more years of experience handling homeowners insurance claims.

Responsibilities

Assess and analyze submitted claims documentation to determine claim validity and coverage.
Communicate with policyholders, witnesses, and other involved parties to gather information for claims evaluation.
Create detailed reports and maintain comprehensive notes supporting claims assessments.
Review insurance policies to determine applicable coverage and assess liability.
Submit reports of findings and well-supported settlement recommendations.
Negotiate settlements with policyholders and third parties to support fair outcomes.
Handle disputes professionally and efficiently.
Maintain transparent, professional communication with policyholders and other 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 throughout the claims process.
Support claims management efforts during disaster events as needed.