Complex Claims Adjuster Jobs

Position Summary:

The Complex Claims Adjuster is responsible for reviewing, analyzing, and managing complex pre-suit claims. Responsibilities include responding to pre-suit demands, evaluating prior claim handling and coverage determination, managing task assignments, and communicating with insureds and their representatives.

Essential Functions:

• Attends and participates at DFS mediations
• Negotiates individual claim files
• Responsible to make sure reserves are appropriately set and revised as needed, per departmental guidelines.
• Works closely with other team members within Florida Peninsula Insurance/Edison Insurance.
• Handles projects/tasks as delegate by management
• Responds to complex pre-suit demands inclusive of Civil Remedy Notices and Notices of Intent to Litigate
• Maintains accurate diary and/or tasks for each assigned claim
• Reviews and evaluate homeowner property claims

Required Education and Experience:

• Demonstrated expertise with Florida Homeowners claims
• 5+ years of property claims adjustment experience or similar experience required
• Florida licensed All-Lines adjuster (620)
• High School diploma required; College degree preferred
• Knowledge of property insurance policy and coverage analysis

Preferred Qualifications:

• Experience working with customers and providing outstanding service
• Must be able to work under deadlines
• Excellent verbal and written communication skills
• Experience with mediations in property homeowners claims
• Experience in handling Civil Remedy Notices
• Strong organizational and time management skills
• Strong negotiation skills
• Skills and experience with Xactimate estimating program
• 1+ year adjusting property claims involving attorney representation and/or litigation