Claims Adjuster - Alternative Dispute Resolution

Job Description: • Promptly review assigned claims and execute appropriate ADR strategies in compliance with Florida Statutes 627.70152 and 627.7152. • Verify loss details and policy coverage to ensure accurate application of benefits. • Manage claims from start to finish, including fact gathering, policy analysis, coverage determination, and payment issuance within authority limits. • Review all claim materials to assess completed and pending investigations, positioning the file for timely resolution. • Maintain detailed documentation of claim actions, communications, and decisions. • Respond daily to emails, calls, and inquiries from insureds, public adjusters, attorneys, and contractors. • Establish and adjust reserves promptly in response to changing claim exposure. • Provide clear and timely status updates, explaining settlement decisions and claim outcomes. • Submit reserve and payment approval requests as needed. • Identify and draft Reservation of Rights or denial letters for managerial review. • Evaluate claims for suitability for DFS Mediation or appraisal, initiate the selected ADR process, and manage the claim through resolution. • Attend mediations and apply technical and negotiation skills to facilitate claim settlements. • Oversee the appraisal process, ensuring regular communication and timely progress toward resolution. Requirements: • A four-year college degree is preferred • Prior insurance experience with an insurance carrier or agency. • Minimum 7 years’ experience and/or training in P & C Insurance or equivalent combination of education and experience. • Minimum of 3 years’ experience in the appraisal process. • Continuously maintain all licenses required to perform work in the states we currently complete business in within 60 days of employment. Benefits: • Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term). • 401k Retirement Plan with a generous 9% match • Four weeks of PTO and Pet Insurance for your furry family members. Apply tot his job Apply To this Job