Claims Adjuster - Alternative Dispute Resolution

Job not on LinkedIn

May 1

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

🔴 Lead

🔒 Insurance

🦅 H1B Visa Sponsor

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Frontline Insurance

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At Frontline Insurance, we’re more than an insurance company. We’re your partner in protecting what matters most in your life. We bring peace of mind to your home, liability and property insurance needs by listening, understanding and responding with reliable, competitively priced insurance policies and individual attention. We provide coverage and a level of service that’s above and beyond the expected. And if you experience a loss, we work as a partner to make you whole again, resolving your concerns, as well as your claims.Frontline Insurance is a group of independent insurance companies serving coastal homeowners throughout the Southeast United States in Florida, Georgia, Alabama, North Carolina, and South Carolina. We offer homeowners a financially stable, proven insurance company with a record of superior claims service. Our partnership, experienced insurance agents and willingness to go the extra mile ease the burden that comes with experiencing a loss – and make your search for quality homeowners insurance at competitive rates simple and straightforward.

201 - 500 employees

📋 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.